Provider Demographics
NPI:1144411232
Name:PATEL, BRIJESH M (DDS)
Entity Type:Individual
Prefix:DR
First Name:BRIJESH
Middle Name:M
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 1:1071 BRIDGEWAY CIR
Mailing Address - Street 2:APT # B
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43220-3323
Mailing Address - Country:US
Mailing Address - Phone:614-783-4128
Mailing Address - Fax:
Practice Address - Street 1:1071 BRIDGEWAY CIR
Practice Address - Street 2:APT # B
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43220-3323
Practice Address - Country:US
Practice Address - Phone:614-783-4128
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-05
Last Update Date:2007-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.021769122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist