Individual provider Active NPI

Urvashi Patel

  • General Practice Dentistry
  • Orlando, FL
National Provider Identifier
1083392328
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30833 Issued in FL
Practice address
4698 Gardens Park Blvd Ste 203B
Orlando, FL 32839-2390
Phone
(407) 209-3011
NPI assigned
Jul 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30833 FL Primary

Addresses

Primary practice location

4698 Gardens Park Blvd Ste 203B
Orlando, FL 32839-2390

Mailing address

2806 Barret Ave
Plant City, FL 33566-9574
Phone (813) 716-3725

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30833FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ideal Dental - Millenia PLLC CurrentSince Aug 25, 2025 Accepting new patients

Locations

4698 Gardens Park Blvd
Ste 203B
Orlando, FL 32839
Phone (407) 209-3011

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1083392328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2806 BARRET AVE",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335669574",
            "telephone_number": "813-716-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4698 GARDENS PARK BLVD STE 203B",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328392390",
            "telephone_number": "407-209-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "URVASHI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-07",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "30833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.