Provider Demographics
NPI:1841429875
Name:PATEL, CHINTAN A (DMD)
Entity Type:Individual
Prefix:DR
First Name:CHINTAN
Middle Name:A
Last Name:PATEL
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8470 FALLS OF NEUSE RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-3500
Mailing Address - Country:US
Mailing Address - Phone:919-438-3575
Mailing Address - Fax:
Practice Address - Street 1:8470 FALLS OF NEUSE RD
Practice Address - Street 2:SUITE 200
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-3500
Practice Address - Country:US
Practice Address - Phone:919-438-3575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-13
Last Update Date:2012-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC88851223G0001X
FLDN183541223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice