Provider Demographics
NPI:1982199923
Name:PATEL, NIKITA CHANDRAKANT (DDS)
Entity Type:Individual
Prefix:DR
First Name:NIKITA
Middle Name:CHANDRAKANT
Last Name:PATEL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:945 HALIFAX PL
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08619-2070
Mailing Address - Country:US
Mailing Address - Phone:409-363-2013
Mailing Address - Fax:
Practice Address - Street 1:832 GERMANTOWN PIKE
Practice Address - Street 2:
Practice Address - City:PLYMOUTH MEETING
Practice Address - State:PA
Practice Address - Zip Code:19462-2442
Practice Address - Country:US
Practice Address - Phone:610-277-0996
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-22
Last Update Date:2021-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX341251223G0001X
PA434121223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice