Provider Demographics
NPI:1326123993
Name:PATEL, GAURANGI N (DDS)
Entity Type:Individual
Prefix:DR
First Name:GAURANGI
Middle Name:N
Last Name:PATEL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29605 US HIGHWAY 19 N
Mailing Address - Street 2:350
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33761-1537
Mailing Address - Country:US
Mailing Address - Phone:727-786-6649
Mailing Address - Fax:727-789-9454
Practice Address - Street 1:29605 US HIGHWAY 19 N
Practice Address - Street 2:350
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33761-1537
Practice Address - Country:US
Practice Address - Phone:727-786-6649
Practice Address - Fax:727-789-9454
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN00115041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice