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NPI Code Detail

MEDICARE: BRIJESH N PATEL DDS

MEDICARE: BRIJESH N 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
1122300000XDentistDS040768PA
2122300000XDentist12012305AIN
3122300000XDentist31417TX

General Provider Information

NPI Number : 1518346352
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIJESH N PATEL DDS
Provider Business Mailing Address
First Line : 1804 PADDINGTON CT
Second Line :
City : ARLINGTON
State : TX
Zip : 76017-7925
Country : US
Telephone Number : 678-735-2602
Fax Number :
Provider Business Practice Location Address
First Line : 1204 WOODHAVEN BLVD
Second Line :
City : FORT WORTH
State : TX
Zip : 76112-2376
Country : US
Telephone Number : 678-735-2602
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2015
Last Update Date : 03/18/2022

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Directions to “ BRIJESH N PATEL DDS” Practice Location

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