Provider Demographics
NPI:1326451485
Name:PATEL, DEVESH P (DMD)
Entity Type:Individual
Prefix:DR
First Name:DEVESH
Middle Name:P
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 1:1373 MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:PA
Mailing Address - Zip Code:18974-6136
Mailing Address - Country:US
Mailing Address - Phone:215-900-0576
Mailing Address - Fax:
Practice Address - Street 1:2527 DEKALB PIKE
Practice Address - Street 2:DR. J.C. PATEL AND ASSOCIATES PC
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19401-2034
Practice Address - Country:US
Practice Address - Phone:610-272-3219
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-06
Last Update Date:2020-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS039949122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist