Provider Demographics
NPI:1669125746
Name:PATADIA, SAHIL HITESH (DDS)
Entity type:Individual
Prefix:DR
First Name:SAHIL
Middle Name:HITESH
Last Name:PATADIA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 FINCH
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST
Mailing Address - State:CA
Mailing Address - Zip Code:92630-1436
Mailing Address - Country:US
Mailing Address - Phone:951-541-4736
Mailing Address - Fax:
Practice Address - Street 1:200 FINCH
Practice Address - Street 2:
Practice Address - City:LAKE FOREST
Practice Address - State:CA
Practice Address - Zip Code:92630-1436
Practice Address - Country:US
Practice Address - Phone:951-541-4736
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-30
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADDS107221122300000X, 1223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223E0200XDental ProvidersDentistEndodontics