=====================================================
General NPI Number Information
=====================================================
NPI Number | 1821434085
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ARPIT PATEL DDS
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/15/2013
-----------------------------------------------------
Last Update Date | 07/10/2015
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7003 SHALLOWFORD RD SUITE 102
-----------------------------------------------------
City | CHATTANOOGA
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37421-6722
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 423-805-7587
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 521 ENGLISH VILLAGE WAY APT 627
-----------------------------------------------------
City | KNOXVILLE
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37919-8791
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-600-6046
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 122300000X
-----------------------------------------------------
Taxonomy Name | Dentist
-----------------------------------------------------
License Number | DS9883
-----------------------------------------------------
License Number State | TN
-----------------------------------------------------