Provider Demographics
NPI:1023365905
Name:PATEL, MANSHI HARSHAD (DDS)
Entity type:Individual
Prefix:
First Name:MANSHI
Middle Name:HARSHAD
Last Name:PATEL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 860036
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55486-0036
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9200 WHITE SETTLEMENT RD
Practice Address - Street 2:SADDLE BROOK DENTAL CARE
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76108-2028
Practice Address - Country:US
Practice Address - Phone:817-246-2721
Practice Address - Fax:817-246-0429
Is Sole Proprietor?:No
Enumeration Date:2012-08-09
Last Update Date:2016-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX280631223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice