Healthcare Provider Details

I. General information

NPI: 1245973874
Provider Name (Legal Business Name): DEV B PATEL DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2022
Last Update Date: 07/18/2025
Certification Date: 07/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 WILMINGTON W CHESTER PIKE
CHADDS FORD PA
19317-9085
US

IV. Provider business mailing address

1022 FAIRMOUNT AVE UNIT 1
PHILADELPHIA PA
19123-1945
US

V. Phone/Fax

Practice location:
  • Phone: 610-502-5562
  • Fax:
Mailing address:
  • Phone: 314-874-2985
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number22DI03021200
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number2022018786
License Number StateMO
# 3
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License NumberDS044554
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: