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General NPI Number Information
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NPI Number | 1235042763
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Entity Type | Organization
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Legal Business Name | D T PATEL DENTAL CORPORATION
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Dates
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Enumeration Date | 09/25/2026
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Last Update Date | 09/25/2026
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Provider Practice Location Address
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Address Line | 6400 VILLAGE PKWY STE 100
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City | DUBLIN
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State | CA
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Zip | 94568-3007
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Country | US
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Telephone | 925-369-2026
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Fax |
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Provider Business Mailing Address
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Address Line | 6400 VILLAGE PKWY STE 100
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City | DUBLIN
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State | CA
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Zip | 94568-3007
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DHAVAL T PATEL
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Credential | DDS
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Telephone | 630-956-2436
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number |
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License Number State |
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