Provider Demographics
NPI:1952977241
Name:PATEL, VISHALA (DDS)
Entity Type:Individual
Prefix:DR
First Name:VISHALA
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:VISHALABEN
Other - Middle Name:MAYANK
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:1521 N CUSTER RD STE 2900
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-3301
Mailing Address - Country:US
Mailing Address - Phone:214-945-1993
Mailing Address - Fax:
Practice Address - Street 1:1521 N CUSTER RD STE 2900
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-3301
Practice Address - Country:US
Practice Address - Phone:214-945-1993
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-27
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.0264871223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice