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NPI Code Detail

MEDICARE: DR. BRIJESH M. PATEL D.D.S.

MEDICARE: DR. BRIJESH 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
1122300000XDentist30.021769OH

General Provider Information

NPI Number : 1144411232
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRIJESH M. PATEL D.D.S.
Provider Business Mailing Address
First Line : 982 GALLOWAY RD
Second Line :
City : GALLOWAY
State : OH
Zip : 43119-8293
Country : US
Telephone Number : 614-824-5671
Fax Number : 614-824-5674
Provider Business Practice Location Address
First Line : 982 GALLOWAY RD
Second Line :
City : GALLOWAY
State : OH
Zip : 43119-8293
Country : US
Telephone Number : 614-824-5671
Fax Number : 614-824-5674
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2007
Last Update Date : 12/03/2024

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