Provider Demographics
NPI:1598242604
Name:PATEL, JAYESH (DMD)
Entity type:Individual
Prefix:DR
First Name:JAYESH
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 1:49 HEALTHPARK WAY STE 100
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27520-7782
Mailing Address - Country:US
Mailing Address - Phone:919-585-1081
Mailing Address - Fax:919-849-8791
Practice Address - Street 1:49 HEALTHPARK WAY STE 100
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27520-7782
Practice Address - Country:US
Practice Address - Phone:919-585-1081
Practice Address - Fax:919-849-8791
Is Sole Proprietor?:No
Enumeration Date:2018-07-21
Last Update Date:2025-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCDN18582081223G0001X
MADN18582081223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice