Provider Demographics
NPI:1932898673
Name:PATEL, PRIYA A (DMD)
Entity Type:Individual
Prefix:
First Name:PRIYA
Middle Name:A
Last Name:PATEL
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8872 MAPLE UNIT C
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:CA
Mailing Address - Zip Code:91763-1362
Mailing Address - Country:US
Mailing Address - Phone:210-483-0233
Mailing Address - Fax:
Practice Address - Street 1:8872 MAPLE UNIT C
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:CA
Practice Address - Zip Code:91763-1362
Practice Address - Country:US
Practice Address - Phone:210-483-0233
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-08
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program