Provider Demographics
NPI:1306047725
Name:JESAL A. PATEL, DDS AND SHAWN A. DORNHECKER DDS
Entity type:Organization
Organization Name:JESAL A. PATEL, DDS AND SHAWN A. DORNHECKER DDS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:A
Authorized Official - Last Name:DORNHECKER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:513-518-2463
Mailing Address - Street 1:5520 HARRISON AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45248
Mailing Address - Country:US
Mailing Address - Phone:513-815-3188
Mailing Address - Fax:513-347-3006
Practice Address - Street 1:5520 HARRISON AVE
Practice Address - Street 2:SUITE A
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45248
Practice Address - Country:US
Practice Address - Phone:513-815-3188
Practice Address - Fax:513-347-3006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-31
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty