Provider Demographics
NPI:1386054070
Name:PARTHA B. PATEL DDS, PC
Entity type:Organization
Organization Name:PARTHA B. PATEL DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PARTHA
Authorized Official - Middle Name:B
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:215-918-2900
Mailing Address - Street 1:1214 EASTON ROAD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:WARRINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:18976
Mailing Address - Country:US
Mailing Address - Phone:215-918-2900
Mailing Address - Fax:215-918-2905
Practice Address - Street 1:1214 EASTON RD
Practice Address - Street 2:SUITE 201
Practice Address - City:WARRINGTON
Practice Address - State:PA
Practice Address - Zip Code:18976-1788
Practice Address - Country:US
Practice Address - Phone:215-918-2900
Practice Address - Fax:215-918-2905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-02
Last Update Date:2014-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0386481223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102732111001Medicaid