Provider Demographics
NPI:1114232667
Name:PATEL, NEEL HARSHAD (DDS)
Entity Type:Individual
Prefix:DR
First Name:NEEL
Middle Name:HARSHAD
Last Name:PATEL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3825 YUCCA AVE
Mailing Address - Street 2:STE 101
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76111-6067
Mailing Address - Country:US
Mailing Address - Phone:817-834-2600
Mailing Address - Fax:
Practice Address - Street 1:3825 YUCCA AVE STE 101
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76111-6067
Practice Address - Country:US
Practice Address - Phone:817-831-9300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-09
Last Update Date:2014-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX00247641223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice