Provider Demographics
NPI:1487603031
Name:PATEL, NEETU GUPTA (DDS)
Entity type:Individual
Prefix:DR
First Name:NEETU
Middle Name:GUPTA
Last Name:PATEL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9393 N 90TH ST
Mailing Address - Street 2:SUITE 207
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-5040
Mailing Address - Country:US
Mailing Address - Phone:480-860-9275
Mailing Address - Fax:480-614-3302
Practice Address - Street 1:9393 N 90TH ST
Practice Address - Street 2:SUITE 207
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-5040
Practice Address - Country:US
Practice Address - Phone:480-860-9275
Practice Address - Fax:480-614-3302
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD59141223G0001X
TX00211231223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice