Provider Demographics
NPI:1497327696
Name:PATEL, NIRALBHAI A (DDS)
Entity Type:Individual
Prefix:DR
First Name:NIRALBHAI
Middle Name:A
Last Name:PATEL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:925 BOB WALLACE AVE SW STE 30
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-6504
Mailing Address - Country:US
Mailing Address - Phone:256-947-5008
Mailing Address - Fax:
Practice Address - Street 1:925 BOB WALLACE AVE SW STE 30
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-6504
Practice Address - Country:US
Practice Address - Phone:256-947-5008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-15
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALD-0006955-C11223D0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223D0001XDental ProvidersDentistDental Public Health