Provider Demographics
NPI:1417763046
Name:USHMA PATADIA, DMD, PC
Entity type:Organization
Organization Name:USHMA PATADIA, DMD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:USHMA
Authorized Official - Middle Name:
Authorized Official - Last Name:PATADIA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:860-899-8355
Mailing Address - Street 1:739 ALDEN LN
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94550-4752
Mailing Address - Country:US
Mailing Address - Phone:860-899-8355
Mailing Address - Fax:
Practice Address - Street 1:87 FENTON ST
Practice Address - Street 2:
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94550-4100
Practice Address - Country:US
Practice Address - Phone:925-290-8928
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-09
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental