Provider Demographics
NPI:1578903092
Name:BINDI H PATEL DDS PC
Entity Type:Organization
Organization Name:BINDI H PATEL DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BINDI
Authorized Official - Middle Name:H
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS PC
Authorized Official - Phone:630-305-7500
Mailing Address - Street 1:1060 E OGDEN AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-3521
Mailing Address - Country:US
Mailing Address - Phone:630-305-7500
Mailing Address - Fax:630-305-7575
Practice Address - Street 1:1060 E OGDEN AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-3521
Practice Address - Country:US
Practice Address - Phone:630-305-7500
Practice Address - Fax:630-305-7575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-28
Last Update Date:2013-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.0294431223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty