Provider Demographics
NPI:1396266292
Name:PATEL, SHEEL (DMD)
Entity type:Individual
Prefix:DR
First Name:SHEEL
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2909 CANTO TRCE
Mailing Address - Street 2:
Mailing Address - City:LEANDER
Mailing Address - State:TX
Mailing Address - Zip Code:78641-5569
Mailing Address - Country:US
Mailing Address - Phone:605-695-6535
Mailing Address - Fax:
Practice Address - Street 1:6222 COLLEYVILLE BLVD STE A
Practice Address - Street 2:
Practice Address - City:COLLEYVILLE
Practice Address - State:TX
Practice Address - Zip Code:76034-6275
Practice Address - Country:US
Practice Address - Phone:817-416-5867
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-29
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX37877122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist