Provider Demographics
NPI:1861520645
Name:PATEL, KALPESH A (DDS)
Entity type:Individual
Prefix:DR
First Name:KALPESH
Middle Name:A
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 1:2240 MARKET PLACE BLVD
Mailing Address - Street 2:STE 140
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-8098
Mailing Address - Country:US
Mailing Address - Phone:972-556-0600
Mailing Address - Fax:972-556-0600
Practice Address - Street 1:2240 MARKET PLACE BLVD
Practice Address - Street 2:SUITE 140
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-8072
Practice Address - Country:US
Practice Address - Phone:214-257-0708
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2016-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX230311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice