Provider Demographics
NPI:1477231413
Name:PATEL, KHUSHBU CHIRAGKUMAR (DDS)
Entity Type:Individual
Prefix:
First Name:KHUSHBU
Middle Name:CHIRAGKUMAR
Last Name:PATEL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:KHUSHBU
Other - Middle Name:PARESHKUMAR
Other - Last Name:IJNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1 TREMONT ST
Mailing Address - Street 2:
Mailing Address - City:CLAREMONT
Mailing Address - State:NH
Mailing Address - Zip Code:03743-2654
Mailing Address - Country:US
Mailing Address - Phone:603-287-1300
Mailing Address - Fax:603-287-1303
Practice Address - Street 1:1 TREMONT ST
Practice Address - Street 2:
Practice Address - City:CLAREMONT
Practice Address - State:NH
Practice Address - Zip Code:03743-2654
Practice Address - Country:US
Practice Address - Phone:603-287-1300
Practice Address - Fax:603-287-1303
Is Sole Proprietor?:No
Enumeration Date:2023-07-10
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH048551223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice