Provider Demographics
NPI:1255744322
Name:PATEL, KRUNAL (DDS)
Entity type:Individual
Prefix:DR
First Name:KRUNAL
Middle Name:
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 1:4824 E TRINDLE RD
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-3617
Mailing Address - Country:US
Mailing Address - Phone:717-761-8056
Mailing Address - Fax:717-975-3539
Practice Address - Street 1:4824 E TRINDLE RD
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17050-3617
Practice Address - Country:US
Practice Address - Phone:717-761-8056
Practice Address - Fax:717-975-3539
Is Sole Proprietor?:No
Enumeration Date:2014-06-06
Last Update Date:2014-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program