Provider Demographics
NPI:1891877379
Name:PATEL, BINDI NARENDRA (DDS)
Entity Type:Individual
Prefix:DR
First Name:BINDI
Middle Name:NARENDRA
Last Name: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:P.O. BOX 3079
Mailing Address - Street 2:
Mailing Address - City:SIERRA VISTA
Mailing Address - State:AZ
Mailing Address - Zip Code:85636
Mailing Address - Country:US
Mailing Address - Phone:951-328-1166
Mailing Address - Fax:951-328-1160
Practice Address - Street 1:126 SOUTH CORONADO DR.
Practice Address - Street 2:SUITE A
Practice Address - City:SIERRA VISTA
Practice Address - State:AZ
Practice Address - Zip Code:85635
Practice Address - Country:US
Practice Address - Phone:520-335-1756
Practice Address - Fax:520-335-1795
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2014-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAD469221223G0001X
AZD0081321223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice