Provider Demographics
NPI:1710045794
Name:PATEL, NRUPUR (DDS)
Entity Type:Individual
Prefix:DR
First Name:NRUPUR
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:413 STUART CIR
Mailing Address - Street 2:2D
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23220-3741
Mailing Address - Country:US
Mailing Address - Phone:917-597-8235
Mailing Address - Fax:804-562-4415
Practice Address - Street 1:413 STUART CIR
Practice Address - Street 2:2D
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23220-3741
Practice Address - Country:US
Practice Address - Phone:917-597-8235
Practice Address - Fax:804-562-4415
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014113101223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice