Provider Demographics
NPI:1699933317
Name:PATEL, NAMAN BHAILAL (DDS)
Entity type:Individual
Prefix:DR
First Name:NAMAN
Middle Name:BHAILAL
Last Name:PATEL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:NAMAN
Other - Middle Name:BHAILAL
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:1489 W ELLIOT RD STE 101
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85233-5168
Mailing Address - Country:US
Mailing Address - Phone:480-507-9400
Mailing Address - Fax:480-507-9474
Practice Address - Street 1:1489 W ELLIOT RD
Practice Address - Street 2:SUITE 101
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85233-5168
Practice Address - Country:US
Practice Address - Phone:480-507-9400
Practice Address - Fax:480-507-9474
Is Sole Proprietor?:No
Enumeration Date:2008-05-29
Last Update Date:2013-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ71841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice