Provider Demographics
NPI:1740841626
Name:PATEL, VINAY (DDS, MPH)
Entity type:Individual
Prefix:DR
First Name:VINAY
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:DDS, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3520 PRESTON RD STE 111
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-9488
Mailing Address - Country:US
Mailing Address - Phone:469-606-3415
Mailing Address - Fax:
Practice Address - Street 1:3520 PRESTON RD STE 111
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-9488
Practice Address - Country:US
Practice Address - Phone:469-606-3415
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-22
Last Update Date:2021-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX353721223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice