Dr. Bhavna Patel D.D.S, P.C

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14652 Issued in MI

Legal business name

DR. BHAVNA PATEL D.D.S, P.C

Practice address

205 Page Ave
Ste a
Jackson, MI 49201-2462

Phone

(517) 796-9488

Fax

(517) 787-4280

NPI assigned

Feb 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Bhavna J Patel, D.D.S

Title

Dentists

Phone

(517) 796-9488

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1811023872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 PAGE AVE",
            "address_2": "STE A",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012462",
            "telephone_number": "517-796-9488",
            "fax_number": "517-787-4280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 PAGE AVE",
            "address_2": "STE A",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012462",
            "telephone_number": "517-796-9488",
            "fax_number": "517-787-4280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. BHAVNA PATEL D.D.S, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "BHAVNA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTISTS",
        "authorized_official_telephone_number": "517-796-9488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "14652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Jackson, MI
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.