Provider Demographics
NPI:1154497493
Name:PATEL, FALGUNI J (DMD)
Entity Type:Individual
Prefix:
First Name:FALGUNI
Middle Name:J
Last Name:PATEL
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13616 N HWY 183 UNIT A
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78750-2312
Mailing Address - Country:US
Mailing Address - Phone:512-682-5437
Mailing Address - Fax:512-682-5437
Practice Address - Street 1:13616 N HWY 183 UNIT A
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78750-2312
Practice Address - Country:US
Practice Address - Phone:512-682-5437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-022333122300000X
TX237501223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2657192Medicaid