Healthcare Provider Details

I. General information

NPI: 1790605491
Provider Name (Legal Business Name): PAOLI PIKE DENTAL ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1599 PAOLI PIKE
WEST CHESTER PA
19380-6113
US

IV. Provider business mailing address

1599 PAOLI PIKE
WEST CHESTER PA
19380-6113
US

V. Phone/Fax

Practice location:
  • Phone: 610-692-1808
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RONAK PATEL
Title or Position: DENTIST
Credential:
Phone: 610-692-1808