Individual
JESAL PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
306 DOLPHIN DR # 1, JACKSONVILLE, NC 28546-5266
(910) 455-3686
Mailing address
5116 WESTERN BLVD APT 908, JACKSONVILLE, NC 28546-0022
(352) 484-4570
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14172
NC
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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