MEDICARE: KARISHMA D PATEL DDS PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	1223P0221X	Pediatric Dentistry
2	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry
3	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1598460743
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KARISHMA D PATEL DDS PLLC

Provider Business Mailing Address
First Line	:	3220 S DURANGO DR STE B2
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-4410
Country	:	US
Telephone Number	:	951-489-9391
Fax Number	:

Provider Business Practice Location Address
First Line	:	3220 S DURANGO DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-4409
Country	:	US
Telephone Number	:	951-489-9391
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. KARISHMA DUSHYANT PATEL
Credential	:	DDS
Telephone Number	:	951-489-9391

Provider Enumeration Date	:	04/04/2023
Last Update Date	:	03/03/2025

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