Provider Demographics
NPI:1710782339
Name:PARTH PATEL DMD, PLLC
Entity type:Organization
Organization Name:PARTH PATEL DMD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR.
Authorized Official - Prefix:
Authorized Official - First Name:PARTH
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:315-567-3830
Mailing Address - Street 1:44 EAST AVE UNIT 3702
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78701-1191
Mailing Address - Country:US
Mailing Address - Phone:315-567-3830
Mailing Address - Fax:
Practice Address - Street 1:2960 FM 1460 STE 104
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78626-3273
Practice Address - Country:US
Practice Address - Phone:737-245-6866
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-18
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental