Provider Demographics
NPI:1174831143
Name:PATEL, PARESH BHIKHU (DDS BDS)
Entity Type:Individual
Prefix:DR
First Name:PARESH
Middle Name:BHIKHU
Last Name:PATEL
Suffix:
Gender:M
Credentials:DDS BDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 LAS COLINAS BLVD W APT 427
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75039-5475
Mailing Address - Country:US
Mailing Address - Phone:901-219-1362
Mailing Address - Fax:
Practice Address - Street 1:301 LAS COLINAS BLVD W APT 427
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75039-5475
Practice Address - Country:US
Practice Address - Phone:901-219-1362
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-23
Last Update Date:2010-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX256951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice