Provider Demographics
NPI:1932648862
Name:PATEL, CHANDANI NARENDRA (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHANDANI
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 1:1008 ANTOINETTE DR
Mailing Address - Street 2:
Mailing Address - City:MONROE TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08831-2167
Mailing Address - Country:US
Mailing Address - Phone:480-272-4812
Mailing Address - Fax:
Practice Address - Street 1:1008 ANTOINETTE DR
Practice Address - Street 2:
Practice Address - City:MONROE TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08831-2167
Practice Address - Country:US
Practice Address - Phone:480-272-4812
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-12
Last Update Date:2017-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program