Provider Demographics
NPI:1508209925
Name:PATEL, DHARA B (DDS)
Entity type:Individual
Prefix:DR
First Name:DHARA
Middle Name:B
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 1:1550 PLATTE ST APT 318
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80202-6130
Mailing Address - Country:US
Mailing Address - Phone:630-728-2415
Mailing Address - Fax:
Practice Address - Street 1:8906 W BOWLES AVE STE 200
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-3400
Practice Address - Country:US
Practice Address - Phone:303-973-4424
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-16
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.0294871223G0001X
IL021.0026871223P0221X
CODEN.002045861223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No1223G0001XDental ProvidersDentistGeneral Practice