MEDICARE: KARAN S PATEL DMD PA

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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry

General Provider Information

NPI Number	:	1104762541
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KARAN S PATEL DMD PA

Provider Business Mailing Address
First Line	:	15125 HAVENCREST CIR APT 5310
Second Line	:
City	:	WINTER GARDEN
State	:	FL
Zip	:	34787-7161
Country	:	US
Telephone Number	:	321-890-8222
Fax Number	:

Provider Business Practice Location Address
First Line	:	7263 AVALON RD STE 121
Second Line	:
City	:	WINTER GARDEN
State	:	FL
Zip	:	34787-5890
Country	:	US
Telephone Number	:	321-890-8222
Fax Number	:

Authorized Official
Title or Position	:	OWNER AND ORTHODONTIST
Name	:	DR. KARAN SANGIV PATEL
Credential	:	DMD, MS
Telephone Number	:	321-890-8222

Provider Enumeration Date	:	04/27/2026
Last Update Date	:	04/27/2026

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