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General NPI Number Information
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NPI Number | 1093125718
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Entity Type | Organization
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Legal Business Name | SAUMIL PATEL DDS PC
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Dates
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Enumeration Date | 05/02/2014
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Last Update Date | 05/02/2014
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Provider Practice Location Address
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Address Line | 8613 JAMAICA AVE
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City | WOODHAVEN
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State | NY
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Zip | 11421-2043
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Country | US
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Telephone | 718-847-3300
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Fax | 718-850-8765
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Provider Business Mailing Address
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Address Line | 8613 JAMAICA AVE
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City | WOODHAVEN
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State | NY
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Zip | 11421-2043
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Country | US
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Telephone | 718-847-3300
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Fax | 718-850-8765
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SAUMIL PATEL
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Credential | DDS
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Telephone | 718-847-3300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 053933
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License Number State | NY
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