Provider Demographics
NPI:1578744769
Name:ALPESH PATEL DDS, INC
Entity Type:Organization
Organization Name:ALPESH PATEL DDS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALPESH
Authorized Official - Middle Name:K
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:909-877-0650
Mailing Address - Street 1:17644 VALLEY BLVD UNIT 1
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:CA
Mailing Address - Zip Code:92316-1947
Mailing Address - Country:US
Mailing Address - Phone:909-877-0650
Mailing Address - Fax:909-877-0951
Practice Address - Street 1:17644 VALLEY BLVD
Practice Address - Street 2:UNIT # 1
Practice Address - City:BLOOMINGTON
Practice Address - State:CA
Practice Address - Zip Code:92316-1947
Practice Address - Country:US
Practice Address - Phone:909-877-0650
Practice Address - Fax:909-877-0951
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-16
Last Update Date:2009-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty