MEDICARE: DR. MONALI 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	1223P0221X	Pediatric Dentistry	20147	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598813149
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MONALI PATEL DDS

Provider Business Mailing Address
First Line	:	7432 WENTWOOD DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75225-4527
Country	:	US
Telephone Number	:	214-265-0565
Fax Number	:	972-296-1867

Provider Business Practice Location Address
First Line	:	7005 PASTOR BAILEY DR STE 100A
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75237-2632
Country	:	US
Telephone Number	:	972-296-1835
Fax Number	:	972-296-1867

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

Provider Enumeration Date	:	01/08/2007
Last Update Date	:	02/09/2012

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Directions to “ DR. MONALI PATEL DDS” Practice Location

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