Individual
JAY PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MPH
Contact information
Practice address
7135 GETWELL RD STE 100, SOUTHAVEN, MS 38672-9659
(662) 655-4868
Mailing address
7135 GETWELL RD STE 100, SOUTHAVEN, MS 38672-9659
(662) 655-4868
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
PER-6024
MS
Other
Enumeration date
11/20/2020
Last updated
08/29/2023
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