MEDICARE: K PATEL DDS,PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1003762907
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	K PATEL DDS,PLLC

Provider Business Mailing Address
First Line	:	7193 SOMERSWORTH DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32835-6162
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	13900 COUNTY ROAD 455 UNIT 109B
Second Line	:
City	:	CLERMONT
State	:	FL
Zip	:	34711-9020
Country	:	US
Telephone Number	:	407-395-3800
Fax Number	:

Authorized Official
Title or Position	:	DENTIST
Name	:	KEYURKUMAR R PATEL
Credential	:	DDS
Telephone Number	:	678-633-9944

Provider Enumeration Date	:	03/05/2026
Last Update Date	:	03/05/2026

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