Healthcare Provider Details

I. General information

NPI: 1083541932
Provider Name (Legal Business Name): JANKI YOGESHBHAI PATEL DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9320 ELK GROVE BLVD STE 170
ELK GROVE CA
95624-5061
US

IV. Provider business mailing address

8282 CALVINE RD APT 3089
SACRAMENTO CA
95828-9330
US

V. Phone/Fax

Practice location:
  • Phone: 916-714-5422
  • Fax: 916-714-5429
Mailing address:
  • Phone: 201-985-4459
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number112551
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: