Individual
NIKHIL M PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
130 LINCOLN ST, #2, WORCESTER, MA 01605
(508) 756-5141
Mailing address
130 LINCOLN ST, #2, WORCESTER, MA 01605
(508) 756-5141
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
017721
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0274526
—
MA
01
—
68871
DENTAL BENEFIT PROVIDERS
—
01
—
777108
TRICARE UNITED CONCORDIA
—
01
—
V04157
BLUE CROSS BLUE SHIELD
MA
Enumeration date
08/11/2006
Last updated
07/08/2007
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