Individual
RUTVI DEEPAK PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 NEWNAN CROSSING BYP, NEWNAN, GA 30265-1063
(678) 621-6410
Mailing address
2208 LOCKSLEY LN, WOODRUFF, SC 29388-6801
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN123825
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/01/2025
Last updated
07/11/2025
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