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DR. CHETAN SHYAM PATIL DDS NPI 1548598576


NPI Information

NPI: 1548598576
Provider Name: DR. CHETAN SHYAM PATIL, DDS
Classification: Dentist - 1223P0300X
Entity Type: Individual

Specialization: Periodontics

Address:
4025 W BELL RD STE 4
PHOENIX, AZ
ZIP 85053
Phone: (480) 744-3881
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DR. Chetan Shyam Patil, DDS is a periodontics dentist in Phoenix, AZ. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. DR. Chetan Shyam Patil, DDS NPI is 1548598576. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4025 W BELL RD STE 4
PHOENIX, AZ
ZIP 85053-748
Phone: (480) 744-3881

The enumeration date for this NPI number is 12/2/2009 and was last updated on 8/3/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0300XDentistPeriodontics053823NEW YORKNo
21223P0300XDentistPeriodontics22DI02429400NEW JERSEYNo
31223P0300XDentistPeriodonticsD010274ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.