Provider Demographics
NPI:1316287758
Name:NEIL V. PATEL DDS PLLC
Entity type:Organization
Organization Name:NEIL V. PATEL DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:512-448-9666
Mailing Address - Street 1:515 S CONGRESS AVE
Mailing Address - Street 2:SUITE 107
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-1774
Mailing Address - Country:US
Mailing Address - Phone:512-448-9666
Mailing Address - Fax:512-448-9667
Practice Address - Street 1:515 S CONGRESS AVE
Practice Address - Street 2:SUITE 107
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-1774
Practice Address - Country:US
Practice Address - Phone:512-448-9666
Practice Address - Fax:512-448-9667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-21
Last Update Date:2013-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX244421223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty