Provider Demographics
NPI:1447631163
Name:PATEL, NEHALBEN (DMD)
Entity type:Individual
Prefix:
First Name:NEHALBEN
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6016 ANTELOPE WELL LN
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78738-4417
Mailing Address - Country:US
Mailing Address - Phone:601-808-1143
Mailing Address - Fax:
Practice Address - Street 1:12400 W HWY 71 STE 320
Practice Address - Street 2:
Practice Address - City:BEE CAVE
Practice Address - State:TX
Practice Address - Zip Code:78738-6504
Practice Address - Country:US
Practice Address - Phone:512-271-6600
Practice Address - Fax:512-879-9070
Is Sole Proprietor?:No
Enumeration Date:2015-06-18
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX360821223G0001X
ALD.0006648-C11223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice