Provider Demographics
NPI:1538120118
Name:PATEL, UTPAL C (DDS)
Entity Type:Individual
Prefix:DR
First Name:UTPAL
Middle Name:C
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 1:2040 W ORANGE GROVE RD
Mailing Address - Street 2:STE. 160
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-1200
Mailing Address - Country:US
Mailing Address - Phone:527-742-9292
Mailing Address - Fax:520-742-9294
Practice Address - Street 1:2040 W ORANGE GROVE RD
Practice Address - Street 2:STE. 160
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-1200
Practice Address - Country:US
Practice Address - Phone:520-742-9292
Practice Address - Fax:520-742-9294
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ44841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice