Healthcare Provider Details

I. General information

NPI: 1285556860
Provider Name (Legal Business Name): DINALI B PATEL DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1295 RUSSELL PKWY
WARNER ROBINS GA
31088-5582
US

IV. Provider business mailing address

1295 RUSSELL PKWY
WARNER ROBINS GA
31088-5582
US

V. Phone/Fax

Practice location:
  • Phone: 478-929-2190
  • Fax:
Mailing address:
  • Phone: 478-929-2190
  • Fax: 478-922-6496

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN124289
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: