Healthcare Provider Details

I. General information

NPI: 1346795317
Provider Name (Legal Business Name): JALPA BIRDI DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JALPA PATEL DMD

II. Dates (important events)

Enumeration Date: 08/19/2016
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 N AVONDALE RD STE 205
AVONDALE ESTATES GA
30002-3411
US

IV. Provider business mailing address

70 N AVONDALE RD STE 205
AVONDALE ESTATES GA
30002-3411
US

V. Phone/Fax

Practice location:
  • Phone: 404-912-9400
  • Fax:
Mailing address:
  • Phone: 678-485-7077
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberDE60727737
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN015167
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: