Provider Demographics
NPI:1720252737
Name:RAJESH M. PATEL D.D.S.
Entity Type:Organization
Organization Name:RAJESH M. PATEL D.D.S.
Other - Org Name:FAMILY DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RAJESH
Authorized Official - Middle Name:M
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:918-369-3024
Mailing Address - Street 1:10130 S MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-7041
Mailing Address - Country:US
Mailing Address - Phone:918-369-3024
Mailing Address - Fax:918-369-3072
Practice Address - Street 1:10130 S MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-7041
Practice Address - Country:US
Practice Address - Phone:918-369-3024
Practice Address - Fax:918-369-3072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-22
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty