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NPI Code Detail

MEDICARE: SHYRIE PATEL DDS MPH

MEDICARE: SHYRIE PATEL DDS MPH
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
1122300000XDentistDN10000351MA

General Provider Information

NPI Number : 1306475512
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHYRIE PATEL DDS MPH
Provider Business Mailing Address
First Line : 290 REVOLUTION DR
Second Line :
City : SOMERVILLE
State : MA
Zip : 02145-1638
Country : US
Telephone Number : 206-543-7496
Fax Number :
Provider Business Practice Location Address
First Line : 1141 BRIDGE ST
Second Line :
City : LOWELL
State : MA
Zip : 01850-1292
Country : US
Telephone Number : 978-999-9000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2020
Last Update Date : 03/18/2026

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Directions to “ SHYRIE PATEL DDS MPH” Practice Location

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