MEDICARE: JAYESH S. PATEL, DDS, PA

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

General Provider Information

NPI Number	:	1659608081
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAYESH S. PATEL, DDS, PA

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	:	PRESIDENT/OWNER
Name	:	DR. JAYESH S. PATEL
Credential	:	DDS
Telephone Number	:	254-741-9324

Provider Enumeration Date	:	11/05/2009
Last Update Date	:	05/18/2026

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