Provider Demographics
NPI:1912420316
Name:PATEL, BIJAL KIRAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:BIJAL
Middle Name:KIRAN
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 1:4605 HYLAS LN STE C
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-9657
Mailing Address - Country:US
Mailing Address - Phone:704-286-8886
Mailing Address - Fax:
Practice Address - Street 1:4605 HYLAS LN STE C
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-9657
Practice Address - Country:US
Practice Address - Phone:704-286-8886
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-18
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC51159122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist