Healthcare Provider Details

I. General information

NPI: 1932648862
Provider Name (Legal Business Name): CHANDANI NARENDRA PATEL DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/12/2017
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1008 ANTOINETTE DR
MONROE TOWNSHIP NJ
08831-2167
US

IV. Provider business mailing address

1008 ANTOINETTE DR
MONROE TOWNSHIP NJ
08831-2167
US

V. Phone/Fax

Practice location:
  • Phone: 480-272-4812
  • Fax:
Mailing address:
  • Phone: 480-272-4812
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number22DI02930400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: