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NPI Code Detail

MEDICARE: REYNA PATEL RDH

MEDICARE: REYNA PATEL RDH
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
1124Q00000XDental HygienistHO4948AZ

General Provider Information

NPI Number : 1720921356
Entity Type Code : Individual
Provider Name (Legal Business Name) : REYNA PATEL RDH
Provider Business Mailing Address
First Line : 3003 N CENTRAL AVE STE 1600
Second Line :
City : PHOENIX
State : AZ
Zip : 85012-2908
Country : US
Telephone Number : 602-675-7168
Fax Number :
Provider Business Practice Location Address
First Line : 635 E BASELINE RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85042-6583
Country : US
Telephone Number : 602-243-7277
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2026
Last Update Date : 06/01/2026

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Directions to “ REYNA PATEL RDH” Practice Location

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