Healthcare Provider Details

I. General information

NPI: 1912815101
Provider Name (Legal Business Name): BAKERSFIELD DIGITAL DENTAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 CHESTER AVE
BAKERSFIELD CA
93301-4016
US

IV. Provider business mailing address

2519 RIVER BLVD
BAKERSFIELD CA
93305-2651
US

V. Phone/Fax

Practice location:
  • Phone: 562-650-9337
  • Fax:
Mailing address:
  • Phone: 661-873-9632
  • Fax: 661-873-9647

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JAY PATEL
Title or Position: OWNER DENTIST , CEO
Credential: DDS
Phone: 562-650-9337