Healthcare Provider Details

I. General information

NPI: 1881325256
Provider Name (Legal Business Name): MEET PATEL DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2022
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7369 DAY CREEK BLVD STE F103
RANCHO CUCAMONGA CA
91739-8020
US

IV. Provider business mailing address

8305 SUNSET HILLS PL
RANCHO CUCAMONGA CA
91739-9276
US

V. Phone/Fax

Practice location:
  • Phone: 909-646-7902
  • Fax:
Mailing address:
  • Phone: 732-401-7795
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDS044323
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number113468
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number6001008-15
License Number StateWI
# 4
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDENT.DE.70003215
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: