Provider Demographics
NPI:1164663555
Name:PATEL, NEERAJ R (DDS)
Entity Type:Individual
Prefix:DR
First Name:NEERAJ
Middle Name:R
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 1:2501 KUSER RD
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08691-3302
Mailing Address - Country:US
Mailing Address - Phone:609-689-1212
Mailing Address - Fax:
Practice Address - Street 1:2501 KUSER RD
Practice Address - Street 2:2ND FLOOR
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08691-3302
Practice Address - Country:US
Practice Address - Phone:609-689-1212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-13
Last Update Date:2009-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI024028001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice