Healthcare Provider Details

I. General information

NPI: 1801724182
Provider Name (Legal Business Name): COVEDALE DENTAL STUDIO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4998 GLENWAY AVE
CINCINNATI OH
45238-3902
US

IV. Provider business mailing address

4998 GLENWAY AVE
CINCINNATI OH
45238-3902
US

V. Phone/Fax

Practice location:
  • Phone: 513-251-5500
  • Fax: 513-251-0687
Mailing address:
  • Phone: 513-251-5500
  • Fax: 513-251-0687

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. RIKUL PATEL
Title or Position: OWNER
Credential: DMD
Phone: 561-319-7854