Individual
DR. RIDDHI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
481 MUNN RD STE 100, FORT MILL, SC 29715-0014
(704) 323-5390
(513) 585-5511
Mailing address
481 MUNN RD STE 100, FORT MILL, SC 29715-0014
(704) 323-5390
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS039577
PA
1223G0001X
General Practice Dentistry
10060
SC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
10062
SC
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
30025544
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/05/2013
Last updated
02/09/2023
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