Patel Dental Corp,

Primary specialty

DentistTaxonomy code 122300000X

License

40705 Issued in CA

Legal business name

PATEL DENTAL CORP,

Practice address

4180 E Florida Ave
Hemet, CA 92544-5079

Phone

(951) 306-0987

NPI assigned

Jul 18, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Shailesh K Patel, DDS

Title

President

Phone

(951) 551-4217

Specialties & licenses 1

Addresses

Other names 1

• Smile Shop Doing business as

Locations

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1265697239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4180 E FLORIDA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925445079",
            "telephone_number": "951-306-0987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4180 E FLORIDA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925445079",
            "telephone_number": "951-306-0987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATEL DENTAL CORP,",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-18",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SHAILESH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-551-4217",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "40705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Shop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Holly Dean Pascoe
• Aastha Ketan Patel, DO
• Astha Vimal Patel, DMD
• Hiralben Rasiklal Patel, RPH
• Janavi Patel, DO
• Nancy R Patel, D.D.S

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; 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.