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NPI Code Detail

MEDICARE: DR. MAITRY DARPAN PATEL DMD

MEDICARE:  DR. MAITRY DARPAN 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
1122300000XDentistDN23319FL
21223G0001XGeneral Practice DentistryDN23319FL

General Provider Information

NPI Number : 1538659172
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MAITRY DARPAN PATEL DMD
Provider Business Mailing Address
First Line : 11017 N DALE MABRY HWY STE A
Second Line :
City : TAMPA
State : FL
Zip : 33618-3873
Country : US
Telephone Number : 813-968-7228
Fax Number :
Provider Business Practice Location Address
First Line : 11017 N DALE MABRY HWY STE A
Second Line :
City : TAMPA
State : FL
Zip : 33618-3873
Country : US
Telephone Number : 813-968-7228
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2018
Last Update Date : 08/22/2022

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Directions to “ DR. MAITRY DARPAN PATEL DMD” Practice Location

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