Provider Demographics
NPI:1831272251
Name:DARSHAN P. PATEL, DDS, PLLC
Entity type:Organization
Organization Name:DARSHAN P. PATEL, DDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:DARSHAN
Authorized Official - Middle Name:P
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:214-403-9302
Mailing Address - Street 1:1240 KELLER PKWY
Mailing Address - Street 2:SUITE #110
Mailing Address - City:KELLER
Mailing Address - State:TX
Mailing Address - Zip Code:76248-3687
Mailing Address - Country:US
Mailing Address - Phone:817-741-1240
Mailing Address - Fax:
Practice Address - Street 1:1240 KELLER PKWY
Practice Address - Street 2:SUITE #110
Practice Address - City:KELLER
Practice Address - State:TX
Practice Address - Zip Code:76248-3687
Practice Address - Country:US
Practice Address - Phone:817-741-1240
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX212461223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty