MEDICARE: RUSHIL ATUL 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	1223P0221X	Pediatric Dentistry	DN1858669	MA

General Provider Information

NPI Number	:	1548821432
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RUSHIL ATUL PATEL DMD

Provider Business Mailing Address
First Line	:	330A SAVIN HILL AVE
Second Line	:
City	:	DORCHESTER
State	:	MA
Zip	:	02125-1056
Country	:	US
Telephone Number	:	813-486-9668
Fax Number	:

Provider Business Practice Location Address
First Line	:	45 RESNIK RD STE 306
Second Line	:
City	:	PLYMOUTH
State	:	MA
Zip	:	02360-4891
Country	:	US
Telephone Number	:	508-830-1212
Fax Number	:

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

Provider Enumeration Date	:	06/22/2019
Last Update Date	:	02/17/2026

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