Individual
DR. JIGNESH PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6144 GAZEBO PARK PL S STE 210, JACKSONVILLE, FL 32257
(904) 262-9466
(904) 268-8648
Mailing address
3068 BRETTUNGAR DR, JACKSONVILLE, FL 32246-5503
(954) 551-4624
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN 19907
FL
122300000X
Dentist
DN19907
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
812750812
TAX ID
FL
Enumeration date
08/03/2012
Last updated
01/18/2019
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