Procter, Nirali Patel

Procter, Nirali Patel is an individual health care provider with primary practice located at 205 Waleska Rd Suite 2B, Canton GA 30114-2493. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Procter, Nirali Patel can be contacted via phone (770) 479-1717.

Contact Information

Primary practice address
205 Waleska Rd Suite 2B Canton GA 30114-2493
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4088 South Carolina

Profile Details

NPI number 1669450649
LBN Legal business name Procter, Nirali Patel
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated Dec 31st, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669450649 NPPES
South Carolina MEDICAID ZX4088

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