# MANISHA DESAI PATEL DDS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MANISHA DESAI PATEL DDS
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1861689507
- **Legal business name:** MANISHA DESAI PATEL DDS
- **Authorized official:** PARESH B PATEL DDS (OWNER)
- **Authorized official phone:** (828) 754-7881

## Contact information

- **Practice address:** 310 MULBERRY ST SW, LENOIR, NC 28645-5721
- **Practice address phone:** (828) 754-7881
- **Practice address fax:** (828) 754-5391
- **Mailing address:** 310 MULBERRY ST SW, LENOIR, NC 28645
- **Mailing address phone:** (828) 754-7881
- **Mailing address fax:** (828) 754-5391

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 6771 | NC | — |
| 1223G0001X | General Practice Dentistry | 6332 | NC | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 8154 | NC | — |

## Other

- **Enumeration date:** 09/26/2007
- **Last updated:** 01/26/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5905741 | — | NC |
| 05 | — | 899008A | — | NC |
| 05 | — | 899008C | — | NC |