MEDICARE: DR. SAHIL HITESH PATADIA 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	122300000X	Dentist	DDS107221	CA
2	1223E0200X	Endodontics	DDS107221	CA

General Provider Information

NPI Number	:	1669125746
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAHIL HITESH PATADIA DDS

Provider Business Mailing Address
First Line	:	200 FINCH
Second Line	:
City	:	LAKE FOREST
State	:	CA
Zip	:	92630-1436
Country	:	US
Telephone Number	:	951-541-4736
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 FINCH
Second Line	:
City	:	LAKE FOREST
State	:	CA
Zip	:	92630-1436
Country	:	US
Telephone Number	:	951-541-4736
Fax Number	:

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

Provider Enumeration Date	:	01/30/2022
Last Update Date	:	01/23/2026

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