Provider Demographics
NPI:1174771257
Name:PATEL, NEIL V (DDS)
Entity type:Individual
Prefix:DR
First Name:NEIL
Middle Name:V
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 1:515 S CONGRESS AVE
Mailing Address - Street 2:SUITE 107
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-1774
Mailing Address - Country:US
Mailing Address - Phone:512-448-9669
Mailing Address - Fax:
Practice Address - Street 1:515 S CONGRESS AVE
Practice Address - Street 2:SUITE 107
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-1774
Practice Address - Country:US
Practice Address - Phone:512-448-9669
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-03
Last Update Date:2015-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX244421223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice