Healthcare Provider Details

I. General information

NPI: 1801716394
Provider Name (Legal Business Name): AKSHANI A PATEL DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 N LINDSAY RD STE 101
GILBERT AZ
85234-5808
US

IV. Provider business mailing address

4760 E BASELINE RD APT 3076
MESA AZ
85206-4695
US

V. Phone/Fax

Practice location:
  • Phone: 480-539-7323
  • Fax:
Mailing address:
  • Phone: 845-325-4573
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberD012870
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: