Provider Demographics
NPI:1528231453
Name:PATEL, DINESH J (DDS)
Entity Type:Individual
Prefix:DR
First Name:DINESH
Middle Name:J
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 1:405 N EOLA RD
Mailing Address - Street 2:SUITE L
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60502-9622
Mailing Address - Country:US
Mailing Address - Phone:630-236-6300
Mailing Address - Fax:630-236-6553
Practice Address - Street 1:405 N EOLA RD
Practice Address - Street 2:SUITE L
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60502-9622
Practice Address - Country:US
Practice Address - Phone:630-236-6300
Practice Address - Fax:630-236-6553
Is Sole Proprietor?:No
Enumeration Date:2008-04-11
Last Update Date:2008-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice