Mamta Vipin Patel, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

009630 Issued in CT

Practice address

124 Broad St
Stamford, CT 06901-2702

Phone

(203) 324-7777

Fax

(203) 348-0643

NPI assigned

Jul 26, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1417970575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 BROAD ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069012702",
            "telephone_number": "203-324-7777",
            "fax_number": "203-348-0643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 BROAD ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069012702",
            "telephone_number": "203-324-7777",
            "fax_number": "203-348-0643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MAMTA",
        "middle_name": "VIPIN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "54329",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "009630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004236354",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Akash R Patel, PHARMD
• Amit Patel, MD
• Anuradha Patel, OTR/L
• Durvi Patel
• Jenna Patel
• Monitha Patel, DO
• Priya Patel, MD
• Priya Anil Patel, PA-C
• Ravi Patel, M.D.
• Samay Patel, MD

• General Practice Dentistry in Stamford, CT
• Providers in Stamford, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.