Individual
DR. JAY PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10 MERCANTILE DR, NEWNAN, GA 30265-2615
(910) 302-6485
Mailing address
5802 HALL ST, BURKE, VA 22015-3628
(703) 231-8755
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
D.007246-C
AL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
DN123057
GA
Other
Enumeration date
08/06/2014
Last updated
01/21/2025
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