Individual
DR. NIRAV PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1625 N. MAIN ST., SUITE 201, FUQUAY-VARINA, NC 27526
(919) 557-7799
(919) 557-6677
Mailing address
8470 FALLS OF NEUSE RD., SUITE 202, RALEIGH, NC 27615
(919) 977-0627
(919) 977-4079
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
9034
NC
1223G0001X
General Practice Dentistry
Primary
9034
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9034
NC DENTAL LICENSE NUMBER
NC
Enumeration date
06/16/2009
Last updated
01/05/2016
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