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Provider Information for 1740286012

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DR. SAMIR ARVIND PATEL D.D.S.

Gender: MALE

Individual NPI: 1740286012

Calendar   Last Updated:  2009-07-07
  Certification Date: 

Details

Name Value
NPI 1740286012
Enumeration Date 2005-06-22
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 401 S TENNESSEE ST
MCKINNEY, TX 75069-5621
United States

Phone: 972-542-3324 | Fax: 972-542-4663
View Map External Link
Primary Practice Address 401 S TENNESSEE ST
MCKINNEY, TX 75069-5621
United States

Phone: 972-542-3324 | Fax: 972-542-3324
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice TX 20595
No 1223G0001X - Dentist General Practice CA 44757