Healthcare Provider Details

I. General information

NPI: 1366353682
Provider Name (Legal Business Name): DILAN SANJAY PATEL DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2635 GATEWAY RD STE 101
CARLSBAD CA
92009-1753
US

IV. Provider business mailing address

20385 CHIANTI CT
YORBA LINDA CA
92886-8606
US

V. Phone/Fax

Practice location:
  • Phone: 760-431-8112
  • Fax:
Mailing address:
  • Phone: 714-767-9146
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number113311
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: