Sgpatel, D.D.S., P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019027620 Issued in IL

Legal business name

SGPATEL, D.D.S., P.C.

Doing business as

Kishwaukee Dental

Practice address

1740 Mediterranean Dr
Suite 101
Sycamore, IL 60178-3191

Phone

(815) 895-0777

Fax

(815) 895-0776

NPI assigned

Mar 23, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Sejal Girish Patel, D.D.S.

Title

Dentist

Phone

(847) 445-4772

Specialties & licenses 1

Addresses

Other names 1

• Kishwaukee Dental Doing business as

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

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427068800000",
    "number": "1598159162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 MEDITERRANEAN DR",
            "address_2": "SUITE 101",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783191",
            "telephone_number": "815-895-0777",
            "fax_number": "815-895-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 MEDITERRANEAN DR",
            "address_2": "SUITE 101",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783191",
            "telephone_number": "815-895-0777",
            "fax_number": "815-895-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SGPATEL, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-23",
        "last_updated": "2015-03-23",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SEJAL",
        "authorized_official_middle_name": "GIRISH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "847-445-4772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019027620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kishwaukee Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Sycamore, IL
• Providers in Sycamore, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; 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.