MEDICARE: DR. PREM PATEL DMD MD

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	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	37153	TX
2	204E00000X	Oral & Maxillofacial Surgery (D.M.D.)	021.002766	IL
3	208600000X	Surgery Physician	036.141884	IL
4	208600000X	Surgery Physician	T1511	TX

General Provider Information

NPI Number	:	1306164066
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PREM PATEL DMD MD

Provider Business Mailing Address
First Line	:	2805 BAZE RD
Second Line	:
City	:	EULESS
State	:	TX
Zip	:	76039-7859
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2220 W INTERSTATE 20
Second Line	:	STE 300
City	:	ARLINGTON
State	:	TX
Zip	:	76017
Country	:	US
Telephone Number	:	214-317-4039
Fax Number	:

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

Provider Enumeration Date	:	05/05/2010
Last Update Date	:	08/25/2021

Similar Medicare Providers

1043161441 — ANDREA ALSTON
Practice Location Address:

1028 ROYAL CIR
ARLINGTON, TX
76017-5451

Practice Phone: 346-530-4442
Practice Fax:

1144171380 — STUART RANDALL DIETZMANN
Practice Location Address:

6016 HOLLYLEAF DR
ARLINGTON, TX
76017-6422

Practice Phone: 940-368-8367
Practice Fax:

1891703096 — MR. JASON TODD BAKER M.A., LPC
Practice Location Address:

3910 W INTERSTATE 20 STE 100
ARLINGTON, TX
76017-1430

Practice Phone: 817-812-2880
Practice Fax: 817-812-3096

1336144674 — DR. WILLIAM T BOWERS M.D.
Practice Location Address:

811 W INTERSTATE 20 , SUITE 212
ARLINGTON, TX
76017-5870

Practice Phone: 817-275-3309
Practice Fax: 817-265-0071

1760482590 — DR. JAMES WILLIAM WARD M.D.
Practice Location Address:

811 INTERSTATE 20 W , SUITE G10
ARLINGTON, TX
76017-5870

Practice Phone: 817-861-0505
Practice Fax: 817-861-9540

1790778256 — UROLOGY ASSOCIATES OF NORTH TEXAS LLP
Practice Location Address:

811 W INTERSTATE 20 , SUITE 114
ARLINGTON, TX
76017

Practice Phone: 817-784-0818
Practice Fax: 817-276-1861

1285629881 — HARRISON M ABRAHAMS MD
Practice Location Address:

5005 S COOPER ST STE 250
ARLINGTON, TX
76017-5996

Practice Phone: 866-367-8768
Practice Fax: 817-541-9540

Directions to “ DR. PREM PATEL DMD MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.