Provider Demographics
NPI:1477562031
Name:RASHMI C PATEL DDS PC
Entity Type:Organization
Organization Name:RASHMI C PATEL DDS PC
Other - Org Name:DR. PATEL'S DENTAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:S
Authorized Official - Last Name:CARDOZO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-482-4041
Mailing Address - Street 1:2119 E MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:TORRINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06790-3106
Mailing Address - Country:US
Mailing Address - Phone:860-482-4041
Mailing Address - Fax:860-482-2471
Practice Address - Street 1:2119 E MAIN STREET
Practice Address - Street 2:
Practice Address - City:TORRINGTON
Practice Address - State:CT
Practice Address - Zip Code:06790-3106
Practice Address - Country:US
Practice Address - Phone:860-482-4041
Practice Address - Fax:860-482-2471
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2014-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty