MEDICARE: NIRJAL S. PATEL, DMD, P.A.

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

General Provider Information

NPI Number	:	1902776404
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NIRJAL S. PATEL, DMD, P.A.

Provider Business Mailing Address
First Line	:	6411 TRIANGLE PLANTATION DR STE 105
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27616-5185
Country	:	US
Telephone Number	:	984-459-8732
Fax Number	:

Provider Business Practice Location Address
First Line	:	6411 TRIANGLE PLANTATION DR STE 105
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27616-5185
Country	:	US
Telephone Number	:	984-459-8732
Fax Number	:

Authorized Official
Title or Position	:	ASSOCIATE DENTIST
Name	:	LOGAN BOOKS
Credential	:	DDS
Telephone Number	:	984-459-8732

Provider Enumeration Date	:	11/10/2025
Last Update Date	:	03/16/2026

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