MEDICARE: KEYUR R PATEL DDS,PLLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist

General Provider Information

NPI Number	:	1700732021
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KEYUR R PATEL DDS,PLLC

Provider Business Mailing Address
First Line	:	15030 BRODIE LN
Second Line	:
City	:	WINTER GARDEN
State	:	FL
Zip	:	34787-7220
Country	:	US
Telephone Number	:	352-344-9500
Fax Number	:

Provider Business Practice Location Address
First Line	:	3581 E GULF TO LAKE HWY
Second Line	:
City	:	INVERNESS
State	:	FL
Zip	:	34453-3210
Country	:	US
Telephone Number	:	352-344-9500
Fax Number	:

Authorized Official
Title or Position	:	DENTIST
Name	:	KEYURKUMAR PATEL
Credential	:	DDS
Telephone Number	:	678-633-9944

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	03/09/2026

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