Tejal Patel, DDS

Individual provider Active NPI General Practice Dentistry · Chickasha, OK

NPI 1740112192 · NPPES record last updated Jun 1, 2026

Key facts

NPI
1740112192
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
8212 (OK)
Practice address
2900 W Grand Ave
Chickasha, OK 73018-5112
Phone
(405) 222-0222
NPI assigned
Jun 1, 2026
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
8212OKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
29TH Street Dental Care General Practice Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8212 OK Yes

Addresses

Primary practice location

2900 W Grand Ave
Chickasha, OK 73018-5112

Mailing address

2900 W Grand Ave
Chickasha, OK 73018-5112

Other providers in Chickasha, OK

All providers in Chickasha, OK · General Practice Dentistry in Oklahoma

Sources for this page

Verify at the official NPI Registry.