Provider Demographics
NPI:1295911246
Name:PATEL, ROHITKUMAR SHANTILAL (DDS)
Entity type:Individual
Prefix:DR
First Name:ROHITKUMAR
Middle Name:SHANTILAL
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 1:1401 S STATE ROAD 7
Mailing Address - Street 2:#2C
Mailing Address - City:N LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33068-4606
Mailing Address - Country:US
Mailing Address - Phone:954-979-2511
Mailing Address - Fax:
Practice Address - Street 1:1401 S STATE ROAD 7
Practice Address - Street 2:#2C
Practice Address - City:N LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33068-4606
Practice Address - Country:US
Practice Address - Phone:954-979-2511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-20
Last Update Date:2008-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9776122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist