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NPI Code Detail

MEDICARE: PATEL AND NEIL, DMD, PLLC

MEDICARE: PATEL AND NEIL, DMD, PLLC
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
11223G0001XGeneral Practice Dentistry10470NC
21223G0001XGeneral Practice Dentistry10048NC

General Provider Information

NPI Number : 1558861864
Entity Type Code : Organization
Provider Name (Legal Business Name) : PATEL AND NEIL, DMD, PLLC
Provider Business Mailing Address
First Line : 1236 RAYS BRIDGE RD
Second Line :
City : WHISPERING PINES
State : NC
Zip : 28327-9175
Country : US
Telephone Number : 252-414-2556
Fax Number :
Provider Business Practice Location Address
First Line : 908 N SANDHILLS BLVD
Second Line :
City : ABERDEEN
State : NC
Zip : 28315-2547
Country : US
Telephone Number : 252-414-2556
Fax Number : 252-414-2556
Authorized Official
Title or Position : DENTIST/OWNER
Name : DR. SHEENA KANG NEIL
Credential : DMD
Telephone Number : 252-414-2556
Provider Enumeration Date : 02/14/2018
Last Update Date : 02/14/2018

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