MEDICARE: DR. MILAN PATEL D.M.D.

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	1223P0221X	Pediatric Dentistry	DS039036	PA
2	122300000X	Dentist	DI02544800	NJ

General Provider Information

NPI Number	:	1548572928
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MILAN PATEL D.M.D.

Provider Business Mailing Address
First Line	:	265 PRINCETON HIGHTSTOWN RD
Second Line	:
City	:	PRINCETON JUNCTION
State	:	NJ
Zip	:	08550-3127
Country	:	US
Telephone Number	:	609-799-7722
Fax Number	:

Provider Business Practice Location Address
First Line	:	265 PRINCETON HIGHTSTOWN RD
Second Line	:
City	:	PRINCETON JUNCTION
State	:	NJ
Zip	:	08550-3127
Country	:	US
Telephone Number	:	609-799-7722
Fax Number	:

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

Provider Enumeration Date	:	07/13/2010
Last Update Date	:	03/14/2016

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