MEDICARE: RISHI PATEL, D.M.D., P.C.

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	:	1144103599
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RISHI PATEL, D.M.D., P.C.

Provider Business Mailing Address
First Line	:	2051 VILLA RD UNIT 201
Second Line	:
City	:	BIRMINGHAM
State	:	MI
Zip	:	48009-6569
Country	:	US
Telephone Number	:	248-320-4304
Fax Number	:

Provider Business Practice Location Address
First Line	:	4597 W WALTON BLVD
Second Line	:
City	:	WATERFORD TOWNSHIP
State	:	MI
Zip	:	48329-4078
Country	:	US
Telephone Number	:	248-673-8898
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	DR. RISHI PATEL
Credential	:	DMD
Telephone Number	:	248-320-4304

Provider Enumeration Date	:	07/30/2025
Last Update Date	:	06/01/2026

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