Provider Demographics
NPI:1598029100
Name:PATEL, RINKESH A (DMD)
Entity Type:Individual
Prefix:DR
First Name:RINKESH
Middle Name:A
Last Name:PATEL
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:72 WINTERBERRY CIRCLE
Mailing Address - Street 2:
Mailing Address - City:WESTBROOK
Mailing Address - State:CT
Mailing Address - Zip Code:06498-3220
Mailing Address - Country:US
Mailing Address - Phone:203-435-8734
Mailing Address - Fax:
Practice Address - Street 1:72 WINTERBERRY CIRCLE
Practice Address - Street 2:
Practice Address - City:WESTBROOK
Practice Address - State:CT
Practice Address - Zip Code:06498-3220
Practice Address - Country:US
Practice Address - Phone:203-435-8734
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-28
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTCT-10988122300000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program