MEDICARE: DR. JAYESH S. 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	1223G0001X	General Practice Dentistry	20615	TX
2	122300000X	Dentist	20615	TX

General Provider Information

NPI Number	:	1659463933
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAYESH S. PATEL DDS

Provider Business Mailing Address
First Line	:	2511 AMBASSADOR DR
Second Line	:
City	:	WACO
State	:	TX
Zip	:	76712-8944
Country	:	US
Telephone Number	:	254-741-9324
Fax Number	:	254-752-2444

Provider Business Practice Location Address
First Line	:	2511 AMBASSADOR DR
Second Line	:
City	:	WACO
State	:	TX
Zip	:	76712-8944
Country	:	US
Telephone Number	:	254-741-9324
Fax Number	:	254-752-2444

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

Provider Enumeration Date	:	09/28/2006
Last Update Date	:	05/18/2026

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