Provider Demographics
NPI:1538423785
Name:PATEL, NEAL M (DDS)
Entity type:Individual
Prefix:DR
First Name:NEAL
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 1:2140 L ST NW
Mailing Address - Street 2:APT. 911
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-1510
Mailing Address - Country:US
Mailing Address - Phone:352-359-2488
Mailing Address - Fax:
Practice Address - Street 1:2506 VIRGINIA AVE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-1901
Practice Address - Country:US
Practice Address - Phone:202-965-5400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-02
Last Update Date:2012-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD148521223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice