Provider Demographics
NPI:1952640328
Name:BMP DENTAL, PA
Entity Type:Organization
Organization Name:BMP DENTAL, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:BELA
Authorized Official - Middle Name:MIHIR
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-618-4757
Mailing Address - Street 1:4020 HEDGCOXE RD
Mailing Address - Street 2:STE 500
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-7700
Mailing Address - Country:US
Mailing Address - Phone:972-618-4757
Mailing Address - Fax:972-618-4730
Practice Address - Street 1:4020 HEDGCOXE RD
Practice Address - Street 2:STE 500
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-7700
Practice Address - Country:US
Practice Address - Phone:972-618-4757
Practice Address - Fax:972-618-4730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-05
Last Update Date:2013-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19536261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental