Individual
DEEPKUMAR PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MPH
Contact information
Practice address
5124 REFORMATORY RD, PENDLETON, IN 46064-8767
(765) 778-8011
Mailing address
4819 MORNING VALLEY CT, MCCORDSVILLE, IN 46055-0229
(479) 979-8022
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12014536A
IN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/15/2023
Last updated
02/26/2026
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