Ricky Patel DMD LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

RICKY PATEL DMD LLC

Practice address

5041 Dallas Hwy
BLDG 2 Ste B (204)
Powder Springs, GA 30127

Phone

(770) 499-8717

NPI assigned

Jun 10, 2024

Organization subpart

No

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

Authorized official

Name

Ricky Patel, DMDNPI 1457975385

Title

Owner Dentist

Phone

(229) 854-6095

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ricky Patel, DMD

  • General Practice Dentistry
  • Powder Springs, GA
  • NPI 1457975385
  NPD Authorized official
• Victor Keith Hudson, D.M.D.

  • General Practice Dentistry
  • Powder Springs, GA
  • NPI 1821151929
  NPD (past)

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1508608787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7955 MAGNOLIA SQ",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303504025",
            "telephone_number": "229-854-6095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5041 DALLAS HWY",
            "address_2": "BLDG 2 STE B (204)",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "30127",
            "telephone_number": "770-499-8717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICKY PATEL DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RICKY",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "229-854-6095",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Powder Springs, GA
• Providers in Powder Springs, GA by specialty
• Dental Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.