Provider Demographics
NPI:1508013947
Name:PATEL, HITESH K (DDS II PC LCC)
Entity Type:Individual
Prefix:DR
First Name:HITESH
Middle Name:K
Last Name:PATEL
Suffix:
Gender:M
Credentials:DDS II PC LCC
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1309 MACOM DR
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564-3205
Mailing Address - Country:US
Mailing Address - Phone:630-305-7914
Mailing Address - Fax:630-305-7575
Practice Address - Street 1:1060 E OGDEN AVE
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563
Practice Address - Country:US
Practice Address - Phone:630-305-7500
Practice Address - Fax:630-305-7575
Is Sole Proprietor?:No
Enumeration Date:2008-08-27
Last Update Date:2020-10-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL0190192051223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice