Provider Demographics
NPI:1134888514
Name:NISHANT PATEL, DDS, MS, PA.
Entity type:Organization
Organization Name:NISHANT PATEL, DDS, MS, PA.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NISHANT
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:630-776-1432
Mailing Address - Street 1:730 CHANNING PARK CIR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-7634
Mailing Address - Country:US
Mailing Address - Phone:630-776-1432
Mailing Address - Fax:
Practice Address - Street 1:7250 O'KELLY CHAPEL ROAD
Practice Address - Street 2:SUITE 102
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27519-7634
Practice Address - Country:US
Practice Address - Phone:630-776-1432
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-13
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty