Provider Demographics
NPI:1841459393
Name:PATEL, RACHNA DHIRUBHAI (DDS)
Entity type:Individual
Prefix:
First Name:RACHNA
Middle Name:DHIRUBHAI
Last Name:PATEL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1927 FAITHON P LUCAS SR BLVD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75181-1696
Mailing Address - Country:US
Mailing Address - Phone:469-341-3892
Mailing Address - Fax:
Practice Address - Street 1:1927 FAITHON P LUCAS SR BLVD
Practice Address - Street 2:SUITE 120
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75181-1696
Practice Address - Country:US
Practice Address - Phone:469-341-3892
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-09
Last Update Date:2015-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX240011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice