Healthcare Provider Details

I. General information

NPI: 1437539665
Provider Name (Legal Business Name): VINEET S PATEL D.D.S
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2015
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4201 E BELL RD
PHOENIX AZ
85032-2211
US

IV. Provider business mailing address

11803 N 96TH PL
SCOTTSDALE AZ
85260-5963
US

V. Phone/Fax

Practice location:
  • Phone: 480-447-3700
  • Fax:
Mailing address:
  • Phone: 734-560-0083
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberD011437
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberP340847778775
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: