Provider Demographics
NPI:1790139376
Name:SHAI PATEL DDS PLLC
Entity Type:Organization
Organization Name:SHAI PATEL DDS PLLC
Other - Org Name:PRECISION SMILES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:SHAI
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-377-4777
Mailing Address - Street 1:1901 FM 423 RD.
Mailing Address - Street 2:
Mailing Address - City:LITTLE ELM
Mailing Address - State:TX
Mailing Address - Zip Code:75033-8690
Mailing Address - Country:US
Mailing Address - Phone:972-372-4777
Mailing Address - Fax:
Practice Address - Street 1:1901 FM 423 RD.
Practice Address - Street 2:
Practice Address - City:LITTLE ELM
Practice Address - State:TX
Practice Address - Zip Code:75033-8690
Practice Address - Country:US
Practice Address - Phone:972-372-4777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-20
Last Update Date:2016-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX224361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty