# DR. SHAKU PATEL, D.D.S.,P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750703690
- **Authorized official:** DR. SHAKU J PATEL D.D.S. (OWNER/DENTIST)
- **Authorized official phone:** (423) 626-3345

## Contact information

- **Practice address:** 209 IRISH CEMETERY RD, TAZEWELL, TN 37879-3611
- **Practice address phone:** (423) 626-3345
- **Practice address fax:** (423) 626-0560
- **Mailing address:** 209 IRISH CEMETERY RD, TAZEWELL, TN 37879-3611
- **Mailing address phone:** (423) 626-3345
- **Mailing address fax:** (423) 626-0560

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 01/13/2014
- **Last updated:** 01/28/2014