Provider Demographics
NPI:1144411232
Name:PATEL, BRIJESH M (DDS)
Entity type:Individual
Prefix:DR
First Name:BRIJESH
Middle Name:M
Last Name:PATEL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:982 GALLOWAY RD
Mailing Address - Street 2:
Mailing Address - City:GALLOWAY
Mailing Address - State:OH
Mailing Address - Zip Code:43119-8293
Mailing Address - Country:US
Mailing Address - Phone:614-824-5671
Mailing Address - Fax:614-824-5674
Practice Address - Street 1:982 GALLOWAY RD
Practice Address - Street 2:
Practice Address - City:GALLOWAY
Practice Address - State:OH
Practice Address - Zip Code:43119-8293
Practice Address - Country:US
Practice Address - Phone:614-824-5671
Practice Address - Fax:614-824-5674
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-05
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.021769122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist