Healthcare Provider Details

I. General information

NPI: 1285569814
Provider Name (Legal Business Name): ROOT HEAL ENDODONTICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4601 LAKE BOONE TRL STE 2A
RALEIGH NC
27607-7503
US

IV. Provider business mailing address

4601 LAKE BOONE TRL STE 2A
RALEIGH NC
27607-7503
US

V. Phone/Fax

Practice location:
  • Phone: 919-239-4940
  • Fax: 919-322-0503
Mailing address:
  • Phone: 919-239-4940
  • Fax: 919-322-0503

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number State

VIII. Authorized Official

Name: DR. DEVANG PATEL
Title or Position: ENDODONTIST
Credential: DDS
Phone: 972-474-1906