# PRATIKKUMAR V PATEL,DMD,PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Greensboro Ivory Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972113447
- **Authorized official:** DR. PRATIKKUMAR V PATEL DMD (GENERAL DENTIST)
- **Authorized official phone:** (270) 993-4982

## Contact information

- **Practice address:** 1417 YANCEYVILLE ST, GREENSBORO, NC 27405-6931
- **Practice address phone:** (270) 993-4982
- **Mailing address:** 1417 YANCEYVILLE ST, GREENSBORO, NC 27405-6931

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 08/08/2020
- **Last updated:** 08/10/2020