Provider Demographics
NPI:1437043643
Name:NIRAJ J PATEL
Entity type:Organization
Organization Name:NIRAJ J PATEL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NIRAJ
Authorized Official - Middle Name:J
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:847-639-9080
Mailing Address - Street 1:835 FEINBERG CT STE 117
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:IL
Mailing Address - Zip Code:60013-2947
Mailing Address - Country:US
Mailing Address - Phone:847-639-9080
Mailing Address - Fax:847-829-3993
Practice Address - Street 1:835 FEINBERG CT STE 117
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:IL
Practice Address - Zip Code:60013-2947
Practice Address - Country:US
Practice Address - Phone:847-639-9080
Practice Address - Fax:847-829-3993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty