Dr. Jigna Patel Mahapatra, DMD
Dentist in Minneapolis, MN. Individual provider (NPI-1).
NPI number1043401367
StatusActive
Last updated in NPPESAug 14, 2014
Details
- NPI
- 1043401367
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jigna Patel Mahapatra
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 5, 2007
- Last updated
- Aug 14, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | D11875 | MN | Yes |
| 122300000X | Dentist | 0401411671 | VA |
Practice location
515 Delaware St SeMinneapolis, MN 55455-0357
Phone 507-269-6533
Mailing address
515 Delaware St, Se U Of MnU Of Mn School Of Dentistry
Minneapolis, MN 55424
Phone 507-269-6533
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