Individual provider Active NPI

Milen Rajesh Patel, DMD

  • General Practice Dentistry
  • Savannah, GA
National Provider Identifier
1033788096
Registry record updated Jun 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN122380 Issued in GA
Practice address
5 Mall Anx
Savannah, GA 31406-4738
Phone
(912) 495-8887
NPI assigned
Jun 23, 2021
Last updated
Jun 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DGD.9965 SC
General Practice Dentistry 1223G0001X DN122380 GA Primary

Addresses

Primary practice location

5 Mall Anx
Savannah, GA 31406-4738

Mailing address

129 Post House TRL
Pooler, GA 31322-9624
Phone (912) 695-2830

Other practice location 1

28 Butler St
Midway, GA 31320-4294
Phone (912) 695-2830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250819003518 GA Practitioner - Dentist 3476052184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Lake Erie College of Osteopathic Medicine, Erie, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5 Mall Anx
Savannah, GA 31406-4738

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DGD.9965SCMDDentist
DN122380GAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
J C Lewis Primary Health Care Center CurrentSince Jun 30, 2025 Accepting new patients
Mainstreet Family Dentistry General Practice Current Accepting new patients
J.C. Lewis Primary Healthcare Center, Inc CurrentSince Jun 30, 2025 Accepting new patients
Killian Dentistry, PC General Practice PastSince Jun 1, 2021 Accepting new patients
Michael Jimenez DDS LLC General Practice PastSince Jan 1, 2022 Accepting new patients

Locations

2414 Bull St
Savannah, GA 31401
Phone (912) 495-8887

5 Mall Anx
Savannah, GA 31406
Phone (912) 495-8887

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751068800000",
    "number": "1033788096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 POST HOUSE TRL",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313229624",
            "telephone_number": "912-695-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MALL ANX",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314064738",
            "telephone_number": "912-495-8887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28 Butler St",
            "address_purpose": "LOCATION",
            "city": "Midway",
            "state": "GA",
            "postal_code": "313204294",
            "country_code": "US",
            "telephone_number": "912-695-2830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MILEN",
        "middle_name": "RAJESH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-23",
        "last_updated": "2025-06-28",
        "certification_date": "2025-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "DGD.9965",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN122380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.