Healthcare Provider Details

I. General information

NPI: 1225666183
Provider Name (Legal Business Name): AISLINN MILENA PATEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2020
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 BOX HILL CORPORATE CENTER DR STE 120
ABINGDON MD
21009-1290
US

IV. Provider business mailing address

3400 BOX HILL CORPORATE CENTER DR STE 120
ABINGDON MD
21009-1290
US

V. Phone/Fax

Practice location:
  • Phone: 104-569-4300
  • Fax:
Mailing address:
  • Phone: 410-569-4300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number17901
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: