Individual ProviderJesal PatelDentistDental ProvidersPractice Address306 Dolphin Dr # 1, Jacksonville, NC 28546-5266(910) 455-3686(352) 484-4570PECOS EnrollmentBased on the most recent information from CMS, provider Jesal Patel does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 9 days ago.Profile DetailsProvider ID1407730450Provider TypeIndividualFull NamePatel, JesalCredentialDMDGenderMaleSole ProprietorNoEnumeration Date8/4/2025Last Updated8/4/2025Contact InformationPractice LocationPractice Address306 Dolphin Dr # 1, Jacksonville, NC 28546-5266Phone(910) 455-3686FaxUnlisted FaxMailing LocationMailing Address5116 Western Blvd Apt 908, Jacksonville, NC 28546-0022Phone(352) 484-4570FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicense14172North Carolina