Provider Demographics
NPI:1669658233
Name:N. PATEL DDS, PLLC
Entity Type:Organization
Organization Name:N. PATEL DDS, PLLC
Other - Org Name:ISLAND DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NAMAN
Authorized Official - Middle Name:BHAILAL
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:480-507-9400
Mailing Address - Street 1:1489 W ELLIOT RD STE 101
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85233-5168
Mailing Address - Country:US
Mailing Address - Phone:480-507-9400
Mailing Address - Fax:480-507-9474
Practice Address - Street 1:1489 W ELLIOT RD STE 101
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85233-5168
Practice Address - Country:US
Practice Address - Phone:480-507-9400
Practice Address - Fax:480-507-9474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-14
Last Update Date:2013-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty