Provider Demographics
NPI:1154833770
Name:PATEL, PRANALI (DDS,MSD)
Entity Type:Individual
Prefix:
First Name:PRANALI
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:DDS,MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:486 SCHOOLEYS MOUNTAIN RD STE 2A
Mailing Address - Street 2:
Mailing Address - City:HACKETTSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07840-4000
Mailing Address - Country:US
Mailing Address - Phone:908-852-9899
Mailing Address - Fax:
Practice Address - Street 1:486 SCHOOLEYS MOUNTAIN RD STE 2A
Practice Address - Street 2:
Practice Address - City:HACKETTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07840-4000
Practice Address - Country:US
Practice Address - Phone:908-852-9899
Practice Address - Fax:908-852-2008
Is Sole Proprietor?:No
Enumeration Date:2017-11-05
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0438561223X0400X
NJ28826001223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics