Provider Demographics
NPI:1760471064
Name:PATEL, ARVIND K (DDS)
Entity Type:Individual
Prefix:
First Name:ARVIND
Middle Name:K
Last Name:PATEL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5168 MURFREESBORO RD
Mailing Address - Street 2:
Mailing Address - City:LA VERGNE
Mailing Address - State:TN
Mailing Address - Zip Code:37086-2712
Mailing Address - Country:US
Mailing Address - Phone:615-793-7932
Mailing Address - Fax:615-216-6301
Practice Address - Street 1:5168 MURFREESBORO RD
Practice Address - Street 2:
Practice Address - City:LA VERGNE
Practice Address - State:TN
Practice Address - Zip Code:37086-2712
Practice Address - Country:US
Practice Address - Phone:615-793-7932
Practice Address - Fax:615-216-6301
Is Sole Proprietor?:No
Enumeration Date:2005-10-19
Last Update Date:2011-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS40951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
48717OtherBCBS
004681OtherDORAL