Individual
DR. AJIT A PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
42882 TRURO PARISH DR, SUITE 205, BROADLANDS, VA 20148-4456
(703) 726-4333
(703) 726-4334
Mailing address
42882 TRURO PARISH DR, SUITE 205, BROADLANDS, VA 20148-4456
(703) 726-4333
(703) 726-4334
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401410850
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109269
—
VA
01
—
1650920
UNITED CONCORDIA
—
01
—
176194
ANTHEM BCBS
—
01
—
75316
DENTAL HEALTH ALLIANCE
—
Enumeration date
11/07/2006
Last updated
07/08/2007
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