Provider Demographics
NPI:1811039332
Name:AMIN-PATEL, HETAL AJIT (DDS)
Entity Type:Individual
Prefix:DR
First Name:HETAL
Middle Name:AJIT
Last Name:AMIN-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 1:1401 W INNES ST
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28144-2574
Mailing Address - Country:US
Mailing Address - Phone:704-633-2612
Mailing Address - Fax:
Practice Address - Street 1:1401 W INNES ST
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-2574
Practice Address - Country:US
Practice Address - Phone:704-633-2612
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2021-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7099122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist