MEDICARE: ROSHNI PATEL D.D.S.

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	9949	TN
2	122300000X	Dentist	64597	CA

General Provider Information

NPI Number	:	1528460656
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSHNI PATEL D.D.S.

Provider Business Mailing Address
First Line	:	371 JACKLIN RD
Second Line	:
City	:	MILPITAS
State	:	CA
Zip	:	95035-3225
Country	:	US
Telephone Number	:	408-263-2252
Fax Number	:

Provider Business Practice Location Address
First Line	:	371 JACKLIN RD
Second Line	:
City	:	MILPITAS
State	:	CA
Zip	:	95035-3225
Country	:	US
Telephone Number	:	408-263-2252
Fax Number	:

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

Provider Enumeration Date	:	09/19/2014
Last Update Date	:	11/23/2022

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Directions to “ ROSHNI PATEL D.D.S.” Practice Location

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