Provider Demographics
NPI:1568724904
Name:PATEL, PINAL (DDS)
Entity Type:Individual
Prefix:DR
First Name:PINAL
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2048 AURORA AVE
Mailing Address - Street 2:SUITE 108
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-1002
Mailing Address - Country:US
Mailing Address - Phone:630-425-8000
Mailing Address - Fax:630-425-8800
Practice Address - Street 1:2048 AURORA AVE
Practice Address - Street 2:STE 108
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-1002
Practice Address - Country:US
Practice Address - Phone:630-425-8000
Practice Address - Fax:630-542-8800
Is Sole Proprietor?:No
Enumeration Date:2012-06-12
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190290481223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice