MEDICARE: DR. TRUSHAR 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	122300000X	Dentist	DN012974	GA

General Provider Information

NPI Number	:	1346357472
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TRUSHAR PATEL DMD

Provider Business Mailing Address
First Line	:	3848 SPALDING WOOD DR
Second Line	:
City	:	NORCROSS
State	:	GA
Zip	:	30092-2629
Country	:	US
Telephone Number	:	678-777-0914
Fax Number	:

Provider Business Practice Location Address
First Line	:	232 19TH ST NW
Second Line	:	SUITE 7200
City	:	ATLANTA
State	:	GA
Zip	:	30363-1130
Country	:	US
Telephone Number	:	404-567-8900
Fax Number	:

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

Provider Enumeration Date	:	08/24/2006
Last Update Date	:	07/08/2007

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