Provider Demographics
NPI:1497396154
Name:PATEL, KARISHMA DUSHYANT (DDS)
Entity Type:Individual
Prefix:DR
First Name:KARISHMA
Middle Name:DUSHYANT
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 1:8791 ALTA DR STE 3006
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89145-8574
Mailing Address - Country:US
Mailing Address - Phone:951-489-9391
Mailing Address - Fax:
Practice Address - Street 1:3220 S DURANGO DR STE B2
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-4410
Practice Address - Country:US
Practice Address - Phone:951-489-9391
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-03
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA104470122300000X
IL019.032364122300000X
NV7737122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist