Provider Demographics
NPI:1770011876
Name:PATEL, KHYATI ANKUR (DMD)
Entity Type:Individual
Prefix:DR
First Name:KHYATI
Middle Name:ANKUR
Last Name:PATEL
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:KHYATIBEN
Other - Middle Name:KAUSHIKKUMAR
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5357 HERRING RUN WAY
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-8910
Mailing Address - Country:US
Mailing Address - Phone:614-306-1721
Mailing Address - Fax:
Practice Address - Street 1:4241 KIMBERLY PKWY
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43232-7225
Practice Address - Country:US
Practice Address - Phone:614-866-7445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-01
Last Update Date:2017-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH025101122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist