Provider Demographics
NPI:1588003768
Name:PATEL, ABHISHEK AMITKUMAR (BDS, MSD)
Entity Type:Individual
Prefix:DR
First Name:ABHISHEK
Middle Name:AMITKUMAR
Last Name:PATEL
Suffix:
Gender:M
Credentials:BDS, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4030 SMITH RD STE 225
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45209-1975
Mailing Address - Country:US
Mailing Address - Phone:513-871-8488
Mailing Address - Fax:
Practice Address - Street 1:4030 SMITH RD STE 225
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45209-1975
Practice Address - Country:US
Practice Address - Phone:513-871-8488
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-20
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.0259941223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics