Provider Demographics
NPI:1205363215
Name:PATEL, JANAK C (DMD)
Entity Type:Individual
Prefix:DR
First Name:JANAK
Middle Name:C
Last Name:PATEL
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2610 E DUBLIN GRANVILLE RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43231-4000
Mailing Address - Country:US
Mailing Address - Phone:614-794-7480
Mailing Address - Fax:614-794-7482
Practice Address - Street 1:2610 E DUBLIN GRANVILLE RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231-4000
Practice Address - Country:US
Practice Address - Phone:614-794-7480
Practice Address - Fax:614-794-7482
Is Sole Proprietor?:No
Enumeration Date:2017-05-22
Last Update Date:2017-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300250151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice