MEDICARE: JAYMIN PATEL DMD

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	122300000X	Dentist	DN123870	GA

General Provider Information

NPI Number	:	1275417453
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAYMIN PATEL DMD

Provider Business Mailing Address
First Line	:	6413 ABERCORN AVE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30346-1642
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2685 PEACHTREE PKWY STE 120
Second Line	:
City	:	SUWANEE
State	:	GA
Zip	:	30024-5646
Country	:	US
Telephone Number	:	770-623-8877
Fax Number	:

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

Provider Enumeration Date	:	08/01/2025
Last Update Date	:	08/01/2025

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Directions to “ JAYMIN PATEL DMD” Practice Location

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