Provider Demographics
NPI:1689171928
Name:PATEL, SAURINKUMAR NAVINBHAI (DMD)
Entity type:Individual
Prefix:DR
First Name:SAURINKUMAR
Middle Name:NAVINBHAI
Last Name:PATEL
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:719 SCENIC HWY STE B
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30046-6379
Mailing Address - Country:US
Mailing Address - Phone:334-546-0151
Mailing Address - Fax:
Practice Address - Street 1:719 SCENIC HWY STE B
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30046-6379
Practice Address - Country:US
Practice Address - Phone:470-219-5008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-12
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0156831223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice