Provider Demographics
NPI:1649611427
Name:PATEL, VIRALKUMAR NAGINBHAI (DDS)
Entity type:Individual
Prefix:DR
First Name:VIRALKUMAR
Middle Name:NAGINBHAI
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 1:3701 TRAILWOOD CT # NO916
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76014-4229
Mailing Address - Country:US
Mailing Address - Phone:732-501-2119
Mailing Address - Fax:
Practice Address - Street 1:206 NE 7TH AVE
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79107-5214
Practice Address - Country:US
Practice Address - Phone:806-318-3908
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-09
Last Update Date:2013-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX00292681223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice