Provider Demographics
NPI:1477282952
Name:PATEL, DHARMIK UMESHBHAI (DDS)
Entity type:Individual
Prefix:
First Name:DHARMIK
Middle Name:UMESHBHAI
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 1:500 CENTRAL PARK DR APT 508
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73105-1728
Mailing Address - Country:US
Mailing Address - Phone:630-605-4504
Mailing Address - Fax:
Practice Address - Street 1:2226 24TH AVE NW
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-6496
Practice Address - Country:US
Practice Address - Phone:405-967-6273
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-09
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019034187122300000X
MNSTUDENT1223G0001X
OK7976122300000X
MO2024017633122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty
No1223G0001XDental ProvidersDentistGeneral Practice