Mital Patel DDS Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MITAL PATEL DDS INC

Doing business as

Magnolia Family Dental

Practice address

2561 3Rd St Ste B
Ceres, CA 95307-3230

Phone

(209) 538-9297

NPI assigned

Jun 6, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Mital Patel, DDSNPI 1043586555

Title

President

Phone

(510) 378-1681

Specialties & licenses 1

Addresses

Other names 1

• Magnolia Family Dental Doing business as

Locations

Practitioners 2

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

• Mital Mukesh Patel, DDS

  • Dentist
  • Ceres, CA
  • NPI 1043586555
  NPD Authorized official
• Bruce Neal Young, DDS

  • General Practice Dentistry
  • Ceres, CA
  • NPI 1689871675
  NPD (past)

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608422400000",
    "number": "1720517626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2561 3RD ST STE B",
            "city": "CERES",
            "state": "CA",
            "postal_code": "953073230",
            "telephone_number": "209-538-9297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2561 3RD ST STE B",
            "city": "CERES",
            "state": "CA",
            "postal_code": "953073230",
            "telephone_number": "209-538-9297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITAL PATEL DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-06",
        "last_updated": "2020-12-20",
        "certification_date": "2020-12-20",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MITAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-378-1681",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mid-Valley Health Services, LLC (Mid-Valley Health Services)
• Dan Ray Middleton, CST1
• Sara Nicole Middleton, BHS
• Jessica Danette Miller
• Cristal Miranda
• Nicole J Mitchell
• Modern Urgent Care Inc.
• Jasmin Montalbo
• Jennifer Montano
• Melissa Janae Montes-Hernandez, M.S.,SLP

• Dental Clinic/Center in Ceres, CA
• Providers in Ceres, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2020; 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.