Provider Demographics
NPI:1356037857
Name:PATEL, PRIYAL DUSHYANTKUMAR (DDS)
Entity type:Individual
Prefix:MISS
First Name:PRIYAL
Middle Name:DUSHYANTKUMAR
Last Name:PATEL
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 1:6357 BURNT MOUNTAIN PATH
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-7404
Mailing Address - Country:US
Mailing Address - Phone:443-668-0115
Mailing Address - Fax:
Practice Address - Street 1:6357 BURNT MOUNTAIN PATH
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-7404
Practice Address - Country:US
Practice Address - Phone:443-668-0115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-17
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD18951122300000X
VA04014187821223G0001X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program