Healthcare Provider Details

I. General information

NPI: 1235042763
Provider Name (Legal Business Name): D T PATEL DENTAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6400 VILLAGE PKWY STE 100
DUBLIN CA
94568-3007
US

IV. Provider business mailing address

6400 VILLAGE PKWY STE 100
DUBLIN CA
94568-3007
US

V. Phone/Fax

Practice location:
  • Phone: 925-369-2026
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code204E00000X
TaxonomyOral & Maxillofacial Surgery (D.M.D.)
License Number
License Number State

VIII. Authorized Official

Name: DHAVAL T PATEL
Title or Position: PRESIDENT
Credential: DDS
Phone: 630-956-2436