MEDICARE: MARKETPLACE DENTAL PC

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	23031	TX

General Provider Information

NPI Number	:	1386966729
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARKETPLACE DENTAL PC

Provider Business Mailing Address
First Line	:	2240 MARKET PLACE BLVD STE 120
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75063-8075
Country	:	US
Telephone Number	:	972-556-0600
Fax Number	:

Provider Business Practice Location Address
First Line	:	2240 MARKET PLACE BLVD
Second Line	:	STE. 140
City	:	IRVING
State	:	TX
Zip	:	75063-8072
Country	:	US
Telephone Number	:	972-556-0600
Fax Number	:

Authorized Official
Title or Position	:	DENTIST
Name	:	DR. KALPESH PATEL
Credential	:
Telephone Number	:	972-556-0600

Provider Enumeration Date	:	02/26/2010
Last Update Date	:	06/13/2024

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Directions to “MARKETPLACE DENTAL PC ” Practice Location

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