Provider Demographics
NPI:1265503460
Name:PATEL, SAJIT J (DMD)
Entity Type:Individual
Prefix:DR
First Name:SAJIT
Middle Name:J
Last Name:PATEL
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26711 ALISO CREEK RD
Mailing Address - Street 2:SUITE 200D
Mailing Address - City:ALISO VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92656-4820
Mailing Address - Country:US
Mailing Address - Phone:949-916-7800
Mailing Address - Fax:949-916-7900
Practice Address - Street 1:26711 ALISO CREEK RD
Practice Address - Street 2:SUITE 200D
Practice Address - City:ALISO VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92656-4820
Practice Address - Country:US
Practice Address - Phone:949-916-7800
Practice Address - Fax:949-916-7900
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-11
Last Update Date:2011-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA549581223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice