Individual provider · Type 1 NPI

Mira Krishnakant Patel

Pediatric Dentistry · Philadelphia, PA

NPI number 1093508731 Active

Practice location

2301 E Allegheny Ave
Philadelphia, PA 19134-4427

Call (570) 690-6507 Map

Mailing address

238 S 13th St Apt 2F
Philadelphia, PA 19107-5626

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XDS045240 (PA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1093508731

Mira Krishnakant Patel's National Provider Identifier is 1093508731, issued on May 27, 2025. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 27, 2025.