Provider Demographics
NPI:1831410430
Name:PATEL, JAANKI (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:JAANKI
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4411 SOPHIE CT
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-5435
Mailing Address - Country:US
Mailing Address - Phone:832-449-2993
Mailing Address - Fax:
Practice Address - Street 1:8727 E 29TH PL
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80238-2828
Practice Address - Country:US
Practice Address - Phone:832-449-2993
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-17
Last Update Date:2021-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO002030421223X0400X
TX256101223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics