Individual
PRATIKKUMAR PRAVINBHAI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3634 WHEELER RD, AUGUSTA, GA 30909-6518
(706) 860-8228
Mailing address
3634 WHEELER RD, AUGUSTA, GA 30909-6518
(706) 860-8228
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
35841
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN122522
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/18/2018
Last updated
08/05/2025
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