Provider Demographics
NPI:1346506441
Name:PATEL, SHIVANI A (DMD)
Entity Type:Individual
Prefix:
First Name:SHIVANI
Middle Name:A
Last Name:PATEL
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 WILDEWOOD PARK DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29223-4300
Mailing Address - Country:US
Mailing Address - Phone:803-736-5300
Mailing Address - Fax:803-736-1422
Practice Address - Street 1:10 MEDICAL PARK
Practice Address - Street 2:PH RICHLAND DENTAL DEPARTMENT -
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203
Practice Address - Country:US
Practice Address - Phone:803-434-6567
Practice Address - Fax:803-434-6299
Is Sole Proprietor?:No
Enumeration Date:2012-04-03
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC70661223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice