Patel Professional Dental Corpooration

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

PATEL PROFESSIONAL DENTAL CORPOORATION

Practice address

2049 E Washington St Ste 2F
Colton, CA 92324-4715

Phone

(909) 639-7006

Fax

(909) 639-7008

NPI assigned

Feb 10, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Makbulahmed I Patel, DDSNPI 1932115870

Title

President

Phone

(909) 639-7006

Specialties & licenses 1

Addresses

Other names 1

• Colton Dental Care Doing business as

Tax ID family

Colton Dental Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Patel Professional Dental Corpooration

  • Dentist
  • Rialto, CA
  • NPI 1093650061
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Makbulahmed I Patel, DDS

  • Dentist
  • Riverside, CA
  • NPI 1932115870
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612915200000",
    "number": "1144812082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2049 E WASHINGTON ST STE 2F",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923244715",
            "telephone_number": "909-639-7006",
            "fax_number": "909-639-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2049 E WASHINGTON ST STE 2F",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923244715",
            "telephone_number": "909-639-7006",
            "fax_number": "909-639-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATEL PROFESSIONAL DENTAL CORPOORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MAKBULAHMED",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-639-7006",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colton Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roxieanne Antonique Parker
• Destany Parks, DO
• Adriana Parra
• Martha D Parra, MSW
• Jacob Pascual
• Akash Patel
• Devangkumar J Patel
• Kishan Bhupesh Patel
• Nehil Atul Patel, DO
• Pooja Patel

• Dentist in Colton, CA
• Providers in Colton, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.