Provider Demographics
NPI:1568570331
Name:JUDY, ARPITA PATEL (DDS)
Entity Type:Individual
Prefix:DR
First Name:ARPITA
Middle Name:PATEL
Last Name:JUDY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:ARPITA
Other - Middle Name:B
Other - Last Name:PATEL-JUDY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:15004 AVERY RANCH BLVD
Mailing Address - Street 2:BUILDING A, SUITE 100
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78717-4600
Mailing Address - Country:US
Mailing Address - Phone:512-246-7645
Mailing Address - Fax:
Practice Address - Street 1:15004 AVERY RANCH BLVD
Practice Address - Street 2:BUILDING A, SUITE 100
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78717-4600
Practice Address - Country:US
Practice Address - Phone:512-246-7645
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2013-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19588122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist