Provider Demographics
NPI:1215230610
Name:NEILESH PATEL, DDS, INC.
Entity Type:Organization
Organization Name:NEILESH PATEL, DDS, INC.
Other - Org Name:SWEET SMILES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NEILESH
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:650-468-3631
Mailing Address - Street 1:809 CUESTA DR STE B
Mailing Address - Street 2:141
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-3669
Mailing Address - Country:US
Mailing Address - Phone:650-468-3631
Mailing Address - Fax:
Practice Address - Street 1:365 PEARSON DR
Practice Address - Street 2:#2
Practice Address - City:PORTERVILLE
Practice Address - State:CA
Practice Address - Zip Code:93257-3360
Practice Address - Country:US
Practice Address - Phone:650-468-3631
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-08
Last Update Date:2013-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA57254261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental