Provider Demographics
NPI:1811138019
Name:PATEL-GUPTA, HARSHNA H (DDS)
Entity type:Individual
Prefix:DR
First Name:HARSHNA
Middle Name:H
Last Name:PATEL-GUPTA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:HARSHNA
Other - Middle Name:H
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:4788 FINLAY ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23231-2855
Mailing Address - Country:US
Mailing Address - Phone:804-222-8140
Mailing Address - Fax:804-226-4364
Practice Address - Street 1:4788 FINLAY ST
Practice Address - Street 2:SUITE 2
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23231-2855
Practice Address - Country:US
Practice Address - Phone:804-222-8140
Practice Address - Fax:804-226-4364
Is Sole Proprietor?:No
Enumeration Date:2009-03-18
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA4014103861223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice