MEDICARE: ARPANKUMAR M PATEL D.D.S.

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	27869	TX

General Provider Information

NPI Number	:	1093075152
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARPANKUMAR M PATEL D.D.S.

Provider Business Mailing Address
First Line	:	6233 LOVE DR
Second Line	:	APT #224
City	:	IRVING
State	:	TX
Zip	:	75039-4040
Country	:	US
Telephone Number	:	305-924-3454
Fax Number	:

Provider Business Practice Location Address
First Line	:	4551 WESTERN CENTER BLVD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76137-2628
Country	:	US
Telephone Number	:	855-834-4451
Fax Number	:

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

Provider Enumeration Date	:	05/23/2012
Last Update Date	:	01/31/2013

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