Provider Demographics
NPI:1790527380
Name:PATEL, DHRUVI RASHMIKANT (DMD)
Entity type:Individual
Prefix:DR
First Name:DHRUVI
Middle Name:RASHMIKANT
Last Name:PATEL
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:607 CHEROKEE HILLS RD
Mailing Address - Street 2:
Mailing Address - City:DOUGLAS
Mailing Address - State:GA
Mailing Address - Zip Code:31533-7405
Mailing Address - Country:US
Mailing Address - Phone:912-850-8832
Mailing Address - Fax:
Practice Address - Street 1:845 SCENIC HWY SUITE 300
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30046-7104
Practice Address - Country:US
Practice Address - Phone:770-277-5588
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-12
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN1234251223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice