| Organization Name: | JAYANTILAL P PATEL,D.D.S.,P.A. |
| NPI Number: | 1063621597 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAYANT P PATEL (PRESIDENT-OWNER) |
| Mailing Address: | 906 Oak Tree Ave Ste M South Plainfield |
| State: | NJ US |
| Postal Code: | 070805127 |
| Phone Number: | 9087695200 |
| Fax Number: | 9087696328 |
| NPI Enumeration Date: | 05/22/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 19383 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |