Active NPI
Deedhiti A Patel, DMD
- General Practice Dentistry
- Lebanon, NH
National Provider Identifier
1164109922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 04853
- Practice address
- 367 Route 120 BLDG D
Lebanon, NH 03766-1430 - Phone
- (603) 643-4362
- Fax
- (603) 643-4340
- NPI assigned
- Jul 3, 2023
- Last updated
- Jul 3, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 04853 | NH | Primary |
Addresses
Primary practice location
367 Route 120 BLDG D
Lebanon, NH 03766-1430
Mailing address
69 Etna Rd Unit 111
Lebanon, NH 03766-2404
Phone (978) 761-1929
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
| License | State | Type | Specialty |
|---|---|---|---|
| 04853 | NH | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hanover Road Dental Health, PA | General Practice | Past | Accepting new patients |
| Hyland Dental, PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Lebanon, NH
- NPI 1164596227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688342400000",
"number": "1164109922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69 ETNA RD UNIT 111",
"city": "LEBANON",
"state": "NH",
"postal_code": "037662404",
"telephone_number": "978-761-1929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "367 ROUTE 120 BLDG D",
"city": "LEBANON",
"state": "NH",
"postal_code": "037661430",
"telephone_number": "603-643-4362",
"fax_number": "603-643-4340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "DEEDHITI",
"middle_name": "A",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-03",
"last_updated": "2023-07-03",
"certification_date": "2023-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NH",
"license": "04853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.