Provider Demographics
NPI:1891322905
Name:PATEL, KRUPABEN DRUMIL (DMD)
Entity Type:Individual
Prefix:DR
First Name:KRUPABEN
Middle Name:DRUMIL
Last Name:PATEL
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2229 WOOD STORK LN
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34771-8429
Mailing Address - Country:US
Mailing Address - Phone:502-220-1888
Mailing Address - Fax:
Practice Address - Street 1:2275 NOLTE RD
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34772-8763
Practice Address - Country:US
Practice Address - Phone:321-766-5246
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-26
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL28297122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist