Healthcare Provider Details

I. General information

NPI: 1144768094
Provider Name (Legal Business Name): CHINTAN N PATEL
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/10/2017
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2030 W MAIN ST
WEST NORRITON PA
19403-6003
US

IV. Provider business mailing address

4273 REMO CRESCENT RD
BENSALEM PA
19020-2976
US

V. Phone/Fax

Practice location:
  • Phone: 610-631-3400
  • Fax:
Mailing address:
  • Phone: 267-391-8385
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDS041258
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: