Devishkumar H Patel, DDS
Individual provider Active NPI General Practice Dentistry · Independence, KS
NPI 1154737658 · NPPES record last updated Jul 3, 2014
Key facts
- NPI
- 1154737658
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 30081 (TX)
- Practice address
- 2320 W Main St
Independence, KS 67301-8435 - Phone
- (620) 870-4691
- NPI assigned
- Jul 3, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30081 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Enamel Sleep, PLLC | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 30081 | TX | Yes |
Addresses
Primary practice location
2320 W Main St
Independence, KS 67301-8435
Mailing address
2320 W Main St
Independence, KS 67301-8435
Phone (620) 870-4691
Other providers in Independence, KS
- Scott A Null
- Kaysha D O'Daniel
- Jodi Oder
- Yehoshua M. Othniel
- Cole Pasternak
- Beth Patton
- Daniela Pena Lucena
- Ciera M Perry
- Deepa Perumal
- Sophie Grace Peters
All providers in Independence, KS · General Practice Dentistry in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.