MEDICARE: DR. TRISHNA PATEL DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	22DI02723100	NJ
2	390200000X	Student in an Organized Health Care Education/Training Program
3	1223G0001X	General Practice Dentistry	12212	NC

General Provider Information

NPI Number	:	1376077180
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TRISHNA PATEL DDS

Provider Business Mailing Address
First Line	:	2401 WESTON PKWY STE 201
Second Line	:
City	:	CARY
State	:	NC
Zip	:	27513-5596
Country	:	US
Telephone Number	:	443-695-4412
Fax Number	:

Provider Business Practice Location Address
First Line	:	2401 WESTON PKWY STE 201
Second Line	:
City	:	CARY
State	:	NC
Zip	:	27513-5596
Country	:	US
Telephone Number	:	443-695-4412
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2017
Last Update Date	:	08/22/2025

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