Provider Demographics
NPI:1316404502
Name:MONICA PATEL, DMD AND SAMEER KASHYAP, DMD, PLLC
Entity Type:Organization
Organization Name:MONICA PATEL, DMD AND SAMEER KASHYAP, DMD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:704-787-3276
Mailing Address - Street 1:1819 MATTHEWS TOWNSHIP PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28105-1755
Mailing Address - Country:US
Mailing Address - Phone:704-787-3276
Mailing Address - Fax:
Practice Address - Street 1:1819 MATTHEWS TOWNSHIP PKWY STE 200
Practice Address - Street 2:
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-1755
Practice Address - Country:US
Practice Address - Phone:704-787-3276
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-25
Last Update Date:2019-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental