# GAINESVILLE DENTAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841319449
- **Authorized official:** DR. KETANKUMAR G PATEL D.M.D. (DENTIST)
- **Authorized official phone:** (770) 534-0697

## Contact information

- **Practice address:** 1586 PARK HILL DR, GAINESVILLE, GA 30501-1950
- **Practice address phone:** (770) 534-0697
- **Practice address fax:** (770) 534-1724
- **Mailing address:** 1586 PARK HILL DR, GAINESVILLE, GA 30501-1950
- **Mailing address phone:** (770) 534-0697
- **Mailing address fax:** (770) 534-1724

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DN007359 | GA | Yes |
| 122300000X | Dentist | DN008017 | GA | — |
| 122300000X | Dentist | DN012835 | GA | — |

## Other

- **Enumeration date:** 03/28/2007
- **Last updated:** 01/12/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 003142235A | — | GA |
| 05 | — | 500129458D | — | GA |