Healthcare Provider Details

I. General information

NPI: 1992620835
Provider Name (Legal Business Name): DEV PATEL DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

73 FARRA DR
LANCASTER KY
40444-9598
US

IV. Provider business mailing address

185 ROSEMONT GDN
LEXINGTON KY
40503-1930
US

V. Phone/Fax

Practice location:
  • Phone: 859-792-4236
  • Fax:
Mailing address:
  • Phone: 270-799-5242
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberD-00233
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: