MEDICARE: AMIT PATEL DDS

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	100163115	WI

General Provider Information

NPI Number	:	1184145633
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMIT PATEL DDS

Provider Business Mailing Address
First Line	:	7971 S 6TH ST APT 217
Second Line	:
City	:	OAK CREEK
State	:	WI
Zip	:	53154-2030
Country	:	US
Telephone Number	:	847-704-2361
Fax Number	:

Provider Business Practice Location Address
First Line	:	3900 N BAY DR
Second Line	:
City	:	RACINE
State	:	WI
Zip	:	53402-3632
Country	:	US
Telephone Number	:	847-704-2361
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2017
Last Update Date	:	02/03/2020

Similar Medicare Providers

1992493464 — DR. JOSHUA MICHAEL RODRIGUEZ DDS
Practice Location Address:

3900 N BAY DR
RACINE, WI
53402-3632

Practice Phone: 262-639-1600
Practice Fax:

1245971977 — KLEA ROTA DDS
Practice Location Address:

3900 N BAY DR
RACINE, WI
53402-3632

Practice Phone: 262-639-1600
Practice Fax:

1639179047 — DR. RICHARD JAY STULTZ DDS
Practice Location Address:

3900 N BAY DR
RACINE, WI
53402-3632

Practice Phone: 262-639-1600
Practice Fax:

1518967470 — MR. RONALD L ALLEN MD
Practice Location Address:

4060 N MAIN ST
RACINE, WI
53402-3121

Practice Phone: 262-752-2020
Practice Fax:

1396728929 — MRS. JANE MARIE GROSS RN
Practice Location Address:

1625 4 1/2 MILE RD
RACINE, WI
53402-1805

Practice Phone: 262-681-9072
Practice Fax:

1720057243 — MRS. ELAINE MARIE BLANK LPN
Practice Location Address:

7410 BOTTING RD
RACINE, WI
53402-9742

Practice Phone: 126-268-1303
Practice Fax:

Directions to “ AMIT PATEL DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.