Organization
DR. SHAKU PATEL, D.D.S.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAKU J PATEL D.D.S. (OWNER/DENTIST)
(423) 626-3345
Entity
Organization
Contact information
Practice address
209 IRISH CEMETERY RD, TAZEWELL, TN 37879-3611
(423) 626-3345
(423) 626-0560
Mailing address
209 IRISH CEMETERY RD, TAZEWELL, TN 37879-3611
(423) 626-3345
(423) 626-0560
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/13/2014
Last updated
01/28/2014
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