Provider Demographics
NPI:1275862831
Name:PATEL, NEHA JIVAN (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:NEHA
Middle Name:JIVAN
Last Name:PATEL
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:3825 LINGLESTOWN RD
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17110
Mailing Address - Country:US
Mailing Address - Phone:717-652-3887
Mailing Address - Fax:717-652-9059
Practice Address - Street 1:1108 E CHOCOLATE AVE
Practice Address - Street 2:
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033
Practice Address - Country:US
Practice Address - Phone:717-652-4033
Practice Address - Fax:717-533-5323
Is Sole Proprietor?:No
Enumeration Date:2009-12-10
Last Update Date:2012-02-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PADSO364261223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics