Healthcare Provider Details

I. General information

NPI: 1154241859
Provider Name (Legal Business Name): JARMI RAJCHANDRA PATEL DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 SALUDA POINTE DR STE C
LEXINGTON SC
29072-6786
US

IV. Provider business mailing address

105 SALUDA POINTE DR STE C
LEXINGTON SC
29072-6786
US

V. Phone/Fax

Practice location:
  • Phone: 803-399-8068
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number11513
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: