# PATEL & ASSOCIATES 1 PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Patel Dental & Implants
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134836596
- **Authorized official:** DR. JIMISKUMAR S PATEL DMD (MANAGER)
- **Authorized official phone:** (336) 570-3882

## Contact information

- **Practice address:** 150 W CRESCENT SQUARE DR, GRAHAM, NC 27253-4014
- **Practice address phone:** (336) 570-3882
- **Practice address fax:** (336) 570-3583
- **Mailing address:** 150 W CRESCENT SQUARE DR, GRAHAM, NC 27253-4014
- **Mailing address phone:** (336) 570-3882
- **Mailing address fax:** (336) 570-3583

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |

## Other

- **Enumeration date:** 11/03/2022
- **Last updated:** 12/09/2024