Provider Demographics
NPI:1588458707
Name:PATEL, NAINESH B (DMD)
Entity type:Individual
Prefix:DR
First Name:NAINESH
Middle Name:B
Last Name:PATEL
Suffix:
Gender:
Credentials:DMD
Other - Prefix:DR
Other - First Name:NAINESHKUMAR
Other - Middle Name:B
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMD
Mailing Address - Street 1:109 SPYGLASS LN
Mailing Address - Street 2:
Mailing Address - City:PENDLETON
Mailing Address - State:SC
Mailing Address - Zip Code:29670-3447
Mailing Address - Country:US
Mailing Address - Phone:912-661-5701
Mailing Address - Fax:
Practice Address - Street 1:17652 HERITAGE HWY
Practice Address - Street 2:
Practice Address - City:DENMARK
Practice Address - State:SC
Practice Address - Zip Code:29042-1469
Practice Address - Country:US
Practice Address - Phone:803-793-3653
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-04
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program