Provider Demographics
NPI:1659899094
Name:SACHIN PATEL, D.D.S., A PROFESSIONAL DENTAL CORPORATION
Entity Type:Organization
Organization Name:SACHIN PATEL, D.D.S., A PROFESSIONAL DENTAL CORPORATION
Other - Org Name:TODAY'S FAMILY DENTISTRY, DENTAL OFFICE OF SACHIN PATEL ,D.D.S.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SACHIN
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:925-680-1111
Mailing Address - Street 1:2975 TREAT BLVD STE E2
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94518-3699
Mailing Address - Country:US
Mailing Address - Phone:925-680-1111
Mailing Address - Fax:
Practice Address - Street 1:2975 TREAT BLVD STE E2
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94518-3699
Practice Address - Country:US
Practice Address - Phone:925-680-1111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA610561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1992079743OtherNPI TYPE 1