Provider Demographics
NPI:1306222005
Name:PATEL, ANILKUMAR C (BDS)
Entity Type:Individual
Prefix:DR
First Name:ANILKUMAR
Middle Name:C
Last Name:PATEL
Suffix:
Gender:M
Credentials:BDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 W MITCHELL HAMMOCK RD
Mailing Address - Street 2:SUITE-1008
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-4703
Mailing Address - Country:US
Mailing Address - Phone:407-706-6464
Mailing Address - Fax:407-706-6466
Practice Address - Street 1:106 W MITCHELL HAMMOCK RD
Practice Address - Street 2:SUITE-1008
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-4703
Practice Address - Country:US
Practice Address - Phone:407-706-6464
Practice Address - Fax:407-706-6466
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-04
Last Update Date:2015-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN0011664122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist