MEDICARE: DR. MEENAL H PATEL DMD

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	8637	NC
2	1223G0001X	General Practice Dentistry	18086	FL

General Provider Information

NPI Number	:	1295987717
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MEENAL H PATEL DMD

Provider Business Mailing Address
First Line	:	140 PRESTON EXECUTIVE DR
Second Line	:	SUITE 200
City	:	CARY
State	:	NC
Zip	:	27513-8488
Country	:	US
Telephone Number	:	919-467-6111
Fax Number	:

Provider Business Practice Location Address
First Line	:	140 PRESTON EXECUTIVE DR
Second Line	:	SUITE 200
City	:	CARY
State	:	NC
Zip	:	27513-8488
Country	:	US
Telephone Number	:	919-467-6111
Fax Number	:

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

Provider Enumeration Date	:	10/15/2008
Last Update Date	:	06/05/2016

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