Tejendra Patel, DMD
Individual provider Active NPI Dentist · Clinton, MA
NPI 1669983383 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1669983383
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DN1857676 (MA)
- Practice address
- 200 High St
Clinton, MA 01510-2556 - Phone
- (978) 368-0340
- NPI assigned
- Oct 20, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1857676 | MA | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN1857676 | MA | Yes |
Addresses
Primary practice location
200 High St
Clinton, MA 01510-2556
Mailing address
650 Lincoln St
Worcester, MA 01605-2060
Other practice location 1
32 Concord St
Framingham, MA 01702-8302
Phone (508) 270-2635
Other practice location 2
19 Tacoma St
Worcester, MA 01605-3516
Phone (508) 595-1115
Other providers in Clinton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.