Provider Demographics
NPI:1104556117
Name:PATKI, BHAGYASHREE (DDS)
Entity type:Individual
Prefix:
First Name:BHAGYASHREE
Middle Name:
Last Name:PATKI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20527 DUNCAN RUN LN
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-8902
Mailing Address - Country:US
Mailing Address - Phone:832-817-0185
Mailing Address - Fax:
Practice Address - Street 1:17814 SPRING CYPRESS RD STE 101
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-6290
Practice Address - Country:US
Practice Address - Phone:281-304-1319
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-13
Last Update Date:2022-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX385921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice