Provider Demographics
NPI:1851260954
Name:PATEL, CHANDANI S (DDS)
Entity type:Individual
Prefix:MS
First Name:CHANDANI
Middle Name:S
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 1:1421 COUNTRY CLUB RD
Mailing Address - Street 2:
Mailing Address - City:SHERWOOD
Mailing Address - State:AR
Mailing Address - Zip Code:72120-5082
Mailing Address - Country:US
Mailing Address - Phone:501-835-1130
Mailing Address - Fax:501-833-1401
Practice Address - Street 1:1421 COUNTRY CLUB RD
Practice Address - Street 2:
Practice Address - City:SHERWOOD
Practice Address - State:AR
Practice Address - Zip Code:72120-5082
Practice Address - Country:US
Practice Address - Phone:501-835-1130
Practice Address - Fax:501-833-1401
Is Sole Proprietor?:No
Enumeration Date:2025-11-05
Last Update Date:2025-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR48911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice