Provider Demographics
NPI:1942738992
Name:PATEL, RIKIN R (DDS)
Entity Type:Individual
Prefix:
First Name:RIKIN
Middle Name:R
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 1:1555 N CLINE AVE
Mailing Address - Street 2:
Mailing Address - City:GRIFFITH
Mailing Address - State:IN
Mailing Address - Zip Code:46319-1567
Mailing Address - Country:US
Mailing Address - Phone:219-838-0256
Mailing Address - Fax:219-838-2025
Practice Address - Street 1:1555 N CLINE AVE
Practice Address - Street 2:
Practice Address - City:GRIFFITH
Practice Address - State:IN
Practice Address - Zip Code:46319
Practice Address - Country:US
Practice Address - Phone:219-838-0256
Practice Address - Fax:219-838-2025
Is Sole Proprietor?:No
Enumeration Date:2017-06-02
Last Update Date:2019-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12012714A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice