Organization
JAYSHREE A. PATEL DDS PA
Active
Other names
Jayshree A. Patel DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAYSHREE ASHWIN PATEL DDS (PRESIDENT)
(904) 771-0933
Entity
Organization
Contact information
Practice address
5310 TIMUQUANA RD, JACKSONVILLE, FL 32210-8049
(904) 771-0933
(904) 771-0907
Mailing address
5310 TIMUQUANA RD, JACKSONVILLE, FL 32210-8049
(904) 771-0933
(904) 771-0907
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN0009954
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
073053000
—
FL
01
—
63060
BC/BS
FL
01
—
786435
UNITED CONCORDIA
FL
Enumeration date
05/16/2006
Last updated
06/21/2018
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