Provider Demographics
NPI:1093564882
Name:PATEL, ARTIBEN KANAIYALAL (DMD)
Entity type:Individual
Prefix:DR
First Name:ARTIBEN
Middle Name:KANAIYALAL
Last Name:PATEL
Suffix:
Gender:
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5280 BEECHMONT AVE UNIT 4119
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45230-2518
Mailing Address - Country:US
Mailing Address - Phone:484-903-6514
Mailing Address - Fax:
Practice Address - Street 1:8284 BEECHMONT AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45255-3153
Practice Address - Country:US
Practice Address - Phone:513-231-1012
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-15
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY11282122300000X
OH30.0275331223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice