Provider Demographics
NPI:1558635383
Name:YOGESH T. PATEL D.D.S., PA
Entity Type:Organization
Organization Name:YOGESH T. PATEL D.D.S., PA
Other - Org Name:NORTH DALLAS ENDODONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER / DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:YOGESH
Authorized Official - Middle Name:T
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:214-342-0425
Mailing Address - Street 1:12655 N CENTRAL EXPY
Mailing Address - Street 2:SUITE 1014
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-1700
Mailing Address - Country:US
Mailing Address - Phone:214-342-0425
Mailing Address - Fax:214-342-0545
Practice Address - Street 1:12655 N CENTRAL EXPY
Practice Address - Street 2:SUITE 1014
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-1700
Practice Address - Country:US
Practice Address - Phone:214-342-0425
Practice Address - Fax:214-342-0545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-24
Last Update Date:2012-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX201231223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty