Healthcare Provider Details

I. General information

NPI: 1063320117
Provider Name (Legal Business Name): NEHA MAHESHKUMAR PATEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

119 NEW ATHOL RD
ORANGE MA
01364-9603
US

IV. Provider business mailing address

58 FREEMAN DR APT 11
GREENFIELD MA
01301-3006
US

V. Phone/Fax

Practice location:
  • Phone: 978-544-1576
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDL101372
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: