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NPI Code Detail

MEDICARE: DR. JAI DEV DHIRENDRA PATEL DDS

MEDICARE:  DR. JAI DEV DHIRENDRA 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
1122300000XDentistDN25942FL

General Provider Information

NPI Number : 1881262319
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAI DEV DHIRENDRA PATEL DDS
Provider Business Mailing Address
First Line : 4412 CLEAR RIVER CT
Second Line :
City : ORLANDO
State : FL
Zip : 32817-1431
Country : US
Telephone Number : 407-497-6581
Fax Number :
Provider Business Practice Location Address
First Line : 8015 TURKEY LAKE RD STE 300
Second Line :
City : ORLANDO
State : FL
Zip : 32819-7383
Country : US
Telephone Number : 407-205-0246
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2021
Last Update Date : 06/11/2021

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Directions to “ DR. JAI DEV DHIRENDRA PATEL DDS” Practice Location

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