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General NPI Number Information
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NPI Number | 1063094597
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Entity Type | Organization
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Legal Business Name | NEAL PATEL DDS INC
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Dates
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Enumeration Date | 04/23/2021
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Last Update Date | 05/30/2023
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Provider Practice Location Address
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Address Line | 548 3RD ST W
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City | SONOMA
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State | CA
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Zip | 95476-6502
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Country | US
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Telephone | 510-579-7529
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Fax |
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Provider Business Mailing Address
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Address Line | 2836 WOODSIDE TER
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City | FREMONT
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State | CA
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Zip | 94539-8024
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Country | US
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Telephone | 510-579-7529
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Fax |
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Authorized Official
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Title or Position | DENTIST / OWNER
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Name | DR. NEAL PATEL
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Credential | DDS
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Telephone | 707-938-3077
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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