Provider Demographics
NPI:1205468741
Name:PATEL, VIRAL ATUL (DDS)
Entity type:Individual
Prefix:DR
First Name:VIRAL
Middle Name:ATUL
Last Name:PATEL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5765 BURKE CENTRE PKWY STE M
Mailing Address - Street 2:
Mailing Address - City:BURKE
Mailing Address - State:VA
Mailing Address - Zip Code:22015-2264
Mailing Address - Country:US
Mailing Address - Phone:703-429-0665
Mailing Address - Fax:
Practice Address - Street 1:5765 BURKE CENTRE PKWY STE M
Practice Address - Street 2:
Practice Address - City:BURKE
Practice Address - State:VA
Practice Address - Zip Code:22015-2264
Practice Address - Country:US
Practice Address - Phone:703-429-0665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-11
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI02860400122300000X
VA04014183081223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist