Provider Demographics
NPI:1861601353
Name:PATEL, BRINDA (DDS)
Entity type:Individual
Prefix:DR
First Name:BRINDA
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3516 PRESTON RD
Mailing Address - Street 2:SUITE #600
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-8612
Mailing Address - Country:US
Mailing Address - Phone:972-535-0330
Mailing Address - Fax:972-612-0493
Practice Address - Street 1:3516 PRESTON RD
Practice Address - Street 2:SUITE #600
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-8612
Practice Address - Country:US
Practice Address - Phone:972-535-0330
Practice Address - Fax:972-612-0493
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2012-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX230511223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice