Provider Demographics
NPI:1528035011
Name:PATEL, AKIL A (DDS)
Entity Type:Individual
Prefix:DR
First Name:AKIL
Middle Name:A
Last Name:PATEL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2295 HENRY CLOWER BLVD
Mailing Address - Street 2:STE. 100
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30078-5707
Mailing Address - Country:US
Mailing Address - Phone:770-978-1644
Mailing Address - Fax:
Practice Address - Street 1:2295 HENRY CLOWER BLVD
Practice Address - Street 2:STE. 100
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-5707
Practice Address - Country:US
Practice Address - Phone:770-978-1644
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA120781223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice