MEDICARE: JIGNA PATEL DDS

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	33274	TX

General Provider Information

NPI Number	:	1437673902
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JIGNA PATEL DDS

Provider Business Mailing Address
First Line	:	3003 WATERWAY CT
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76012-2106
Country	:	US
Telephone Number	:	682-465-4941
Fax Number	:

Provider Business Practice Location Address
First Line	:	2011 W BARDIN RD
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76017-1654
Country	:	US
Telephone Number	:	817-557-0025
Fax Number	:

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

Provider Enumeration Date	:	07/26/2017
Last Update Date	:	07/26/2017

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