MEDICARE: MANSHI HARSHAD PATEL DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	28063	TX

General Provider Information

NPI Number	:	1023365905
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MANSHI HARSHAD PATEL DDS

Provider Business Mailing Address
First Line	:	PO BOX 860036
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55486-0036
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9200 WHITE SETTLEMENT RD
Second Line	:	SADDLE BROOK DENTAL CARE
City	:	FORT WORTH
State	:	TX
Zip	:	76108-2028
Country	:	US
Telephone Number	:	817-246-2721
Fax Number	:	817-246-0429

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2012
Last Update Date	:	02/23/2016

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Directions to “ MANSHI HARSHAD PATEL DDS” Practice Location

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