Individual
SHITAL N PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
305 SCHOFIELD DR, MIDLOTHIAN, VA 23113-7331
(804) 601-3139
(804) 451-5993
Mailing address
305 SCHOFIELD DR, MIDLOTHIAN, VA 23113-7331
(804) 601-3139
(804) 451-5993
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401413587
VA
1223P0221X
Pediatric Dentistry
Primary
0401413587
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C06778
GROUP PTAN
VA
Enumeration date
07/28/2009
Last updated
09/04/2019
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