# KAUSHIK N PATEL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1790994986
- **Gender:** Man
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 052867-1 | NY | — |
| 1223G0001X | General Practice Dentistry | 22DI02326000 | NJ | Yes |

## Other

- **Enumeration date:** 05/22/2007
- **Last updated:** 02/04/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0180645 | — | NJ |
| 05 | — | 02783860 | — | NY |