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General NPI Number Information
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NPI Number | 1598460743
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Entity Type | Organization
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Legal Business Name | KARISHMA D PATEL DDS PLLC
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Dates
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Enumeration Date | 04/04/2023
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 3220 S DURANGO DR
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City | LAS VEGAS
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State | NV
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Zip | 89117-4409
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Country | US
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Telephone | 951-489-9391
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Fax |
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Provider Business Mailing Address
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Address Line | 3220 S DURANGO DR STE B2
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City | LAS VEGAS
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State | NV
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Zip | 89117-4410
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Country | US
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Telephone | 951-489-9391
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. KARISHMA DUSHYANT PATEL
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Credential | DDS
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Telephone | 951-489-9391
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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