Individual
DR. JAY PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1919 CHESTNUT ST., SUITE 101, PHILADELPHIA, PA 19103
(215) 561-5559
(215) 561-1399
Mailing address
1919 CHESTNUT ST., SUITE 101, PHILADELPHIA, PA 19103
(215) 561-5559
(215) 561-1399
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS041642
PA
1223G0001X
General Practice Dentistry
DS041642
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2017
Last updated
08/22/2023
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