Provider Demographics
NPI:1477616316
Name:PATEL, DIPTI HARISH (DDS)
Entity Type:Individual
Prefix:DR
First Name:DIPTI
Middle Name:HARISH
Last Name:PATEL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1363 ROUTE 9G
Mailing Address - Street 2:
Mailing Address - City:HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:12569
Mailing Address - Country:US
Mailing Address - Phone:845-229-2177
Mailing Address - Fax:845-229-2178
Practice Address - Street 1:1363 ROUTE 9G
Practice Address - Street 2:
Practice Address - City:HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:12569
Practice Address - Country:US
Practice Address - Phone:845-229-2177
Practice Address - Fax:845-229-2178
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYNY398941223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice