Provider Demographics
NPI:1558861864
Name:PATEL AND NEIL, DMD, PLLC
Entity Type:Organization
Organization Name:PATEL AND NEIL, DMD, PLLC
Other - Org Name:DOGWOOD FAMILY DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHEENA
Authorized Official - Middle Name:KANG
Authorized Official - Last Name:NEIL
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:252-414-2556
Mailing Address - Street 1:1236 RAYS BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:WHISPERING PINES
Mailing Address - State:NC
Mailing Address - Zip Code:28327-9175
Mailing Address - Country:US
Mailing Address - Phone:252-414-2556
Mailing Address - Fax:
Practice Address - Street 1:908 N SANDHILLS BLVD
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:NC
Practice Address - Zip Code:28315-2547
Practice Address - Country:US
Practice Address - Phone:252-414-2556
Practice Address - Fax:252-414-2556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-14
Last Update Date:2018-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC100481223G0001X
NC104701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty