Provider Demographics
NPI:1104336775
Name:CHINTAN A PATEL DMD PLLC II
Entity type:Organization
Organization Name:CHINTAN A PATEL DMD PLLC II
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHINTAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:954-971-2264
Mailing Address - Street 1:2401 WESTON PKWY STE 201
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-5596
Mailing Address - Country:US
Mailing Address - Phone:919-322-0390
Mailing Address - Fax:919-323-8355
Practice Address - Street 1:2401 WESTON PKWY STE 201
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-5596
Practice Address - Country:US
Practice Address - Phone:919-322-0390
Practice Address - Fax:919-323-8355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-09
Last Update Date:2017-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty