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General NPI Number Information
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NPI Number | 1053979997
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Entity Type | Individual
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Provider Name | ANAND R PATEL DMD, MD
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Gender | Male
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Dates
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Enumeration Date | 06/05/2019
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 1600 SW ARCHER RD
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City | GAINESVILLE
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State | FL
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Zip | 32610-3006
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Country | US
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Telephone | 352-273-6750
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Fax | 352-392-7609
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Provider Business Mailing Address
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Address Line | PO BOX 100416
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City | GAINESVILLE
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State | FL
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Zip | 32610-0416
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Country | US
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Telephone | 352-273-6750
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Fax | 352-392-7609
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN24163
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DN24163
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number | ME171587
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License Number State | FL
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