Healthcare Provider Details

I. General information

NPI: 1912231663
Provider Name (Legal Business Name): WEST COAST DENTAL PARTNERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2009
Last Update Date: 10/02/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4104 LITTLE RD
NEW PORT RICHEY FL
34655-1721
US

IV. Provider business mailing address

4104 LITTLE RD
NEW PORT RICHEY FL
34655-1721
US

V. Phone/Fax

Practice location:
  • Phone: 727-376-2666
  • Fax: 727-375-2577
Mailing address:
  • Phone: 727-376-2666
  • Fax: 727-375-2577

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN17419
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN15456
License Number StateFL
# 4
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN15964
License Number StateFL

VIII. Authorized Official

Name: MRS. MILI PATEL
Title or Position: OWNER/DENTIST
Credential: D.M.D.
Phone: 727-376-2666