Provider Demographics
NPI:1831642081
Name:PATEL, SEEMA MAHESH (DMD)
Entity Type:Individual
Prefix:DR
First Name:SEEMA
Middle Name:MAHESH
Last Name:PATEL
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 CROSS KEYS RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SICKLERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08081-4147
Mailing Address - Country:US
Mailing Address - Phone:856-875-5598
Mailing Address - Fax:856-875-4501
Practice Address - Street 1:600 CROSS KEYS RD
Practice Address - Street 2:SUITE 100
Practice Address - City:SICKLERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08081-4147
Practice Address - Country:US
Practice Address - Phone:856-875-5598
Practice Address - Fax:856-875-4501
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-24
Last Update Date:2016-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI026453001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice