Patel, Subhashchandra Ambalal

Patel, Subhashchandra Ambalal is an individual health care provider with primary practice located at 2716 Upper Afton Road E. , St. Paul MN 55119-0449. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Patel, Subhashchandra Ambalal can be contacted via phone (651) 739-5110.

Contact Information

Primary practice address
2716 Upper Afton Road E. St. Paul MN 55119-0449
Phone: (651) 739-5110
Fax: (651) 739-1873
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 8395 Minnesota
Dental Providers / General Practice 1223G0001X D8395 Minnesota

Profile Details

NPI number 1639191463
LBN Legal business name Patel, Subhashchandra Ambalal
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Oct 24th, 2018 - about 6 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 1639191463 NPPES
Minnesota MEDICAID 983217300

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