Provider Demographics
NPI:1558122747
Name:BELA P PATEL DMD & ASSOCIATES INC
Entity Type:Organization
Organization Name:BELA P PATEL DMD & ASSOCIATES INC
Other - Org Name:E Z SMILE FAMILY DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BELA
Authorized Official - Middle Name:P
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:267-308-8115
Mailing Address - Street 1:2618 N BROAD STREET
Mailing Address - Street 2:
Mailing Address - City:COLMAR
Mailing Address - State:PA
Mailing Address - Zip Code:18915
Mailing Address - Country:US
Mailing Address - Phone:267-308-8115
Mailing Address - Fax:
Practice Address - Street 1:2618 N BROAD STREET
Practice Address - Street 2:
Practice Address - City:COLMAR
Practice Address - State:PA
Practice Address - Zip Code:18915
Practice Address - Country:US
Practice Address - Phone:267-308-8115
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-16
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental