Provider Demographics
NPI:1578571543
Name:PATEL, YOGESH THAKOR (DDS)
Entity Type:Individual
Prefix:DR
First Name:YOGESH
Middle Name:THAKOR
Last Name:PATEL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9090 SKILLMAN ST
Mailing Address - Street 2:SUITE 295A
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-8259
Mailing Address - Country:US
Mailing Address - Phone:214-342-0425
Mailing Address - Fax:
Practice Address - Street 1:9090 SKILLMAN ST
Practice Address - Street 2:SUITE 295A
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-8259
Practice Address - Country:US
Practice Address - Phone:214-342-0425
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX201231223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics