Provider Demographics
NPI:1497765853
Name:PATEL, SANJAY NAVIN (DMD)
Entity Type:Individual
Prefix:DR
First Name:SANJAY
Middle Name:NAVIN
Last Name:PATEL
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:537 W HIGHLANDS RANCH PKWY
Mailing Address - Street 2:STE #101
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-6954
Mailing Address - Country:US
Mailing Address - Phone:303-346-3963
Mailing Address - Fax:303-346-3961
Practice Address - Street 1:537 W HIGHLANDS RANCH PKWY
Practice Address - Street 2:STE #101
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80129-6954
Practice Address - Country:US
Practice Address - Phone:303-346-3963
Practice Address - Fax:303-346-3961
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO75451223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics