Provider Demographics
NPI:1487825014
Name:DR. J C PATEL & ASSOCIATES
Entity Type:Organization
Organization Name:DR. J C PATEL & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DDS, OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:JIVAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-272-3219
Mailing Address - Street 1:2527 DEKALB PIKE
Mailing Address - Street 2:
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19401-2035
Mailing Address - Country:US
Mailing Address - Phone:610-272-3219
Mailing Address - Fax:610-272-5177
Practice Address - Street 1:2527 DEKALB PIKE
Practice Address - Street 2:
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19401-2035
Practice Address - Country:US
Practice Address - Phone:610-272-3219
Practice Address - Fax:610-272-5177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-24
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty