Provider Demographics
NPI:1962846402
Name:MITUL V. PATEL, DDS, PC
Entity type:Organization
Organization Name:MITUL V. PATEL, DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MITUL
Authorized Official - Middle Name:V
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:914-472-3400
Mailing Address - Street 1:774 WHITE PLAINS RD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-5030
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:774 WHITE PLAINS RD
Practice Address - Street 2:SUITE 250
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-5030
Practice Address - Country:US
Practice Address - Phone:914-472-3400
Practice Address - Fax:914-723-3406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-27
Last Update Date:2013-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY052791122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty