Healthcare Provider Details

I. General information

NPI: 1386499291
Provider Name (Legal Business Name): NEIL DINESH PATEL DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/23/2024
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2015 INTERSTATE DR
OPELIKA AL
36801-5415
US

IV. Provider business mailing address

2015 INTERSTATE DR
OPELIKA AL
36801-5415
US

V. Phone/Fax

Practice location:
  • Phone: 334-203-2740
  • Fax:
Mailing address:
  • Phone: 334-203-2740
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberD.007704-C1
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: