Provider Demographics
NPI:1295014207
Name:PATEL, PARIN (DDS)
Entity Type:Individual
Prefix:DR
First Name:PARIN
Middle Name:
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 1:2422 RANCH ROAD 620 S STE A126
Mailing Address - Street 2:
Mailing Address - City:LAKEWAY
Mailing Address - State:TX
Mailing Address - Zip Code:78738-5608
Mailing Address - Country:US
Mailing Address - Phone:408-802-6842
Mailing Address - Fax:
Practice Address - Street 1:2422 RANCH ROAD 620 S STE A126
Practice Address - Street 2:
Practice Address - City:LAKEWAY
Practice Address - State:TX
Practice Address - Zip Code:78738-5608
Practice Address - Country:US
Practice Address - Phone:512-263-8989
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-08
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX359021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice