Provider Demographics
NPI:1568598514
Name:PATEL, AMIT PRAFULCHANDRA (DMD)
Entity Type:Individual
Prefix:
First Name:AMIT
Middle Name:PRAFULCHANDRA
Last Name:PATEL
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:817 N EASTON RD
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-1024
Mailing Address - Country:US
Mailing Address - Phone:215-348-4041
Mailing Address - Fax:215-340-2318
Practice Address - Street 1:817 N EASTON RD
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-1024
Practice Address - Country:US
Practice Address - Phone:215-348-4041
Practice Address - Fax:215-340-2318
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0354791223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice