Mehul C. Patel

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MEHUL C. PATEL

Doing business as

Southshore Dental

Practice address

2861 West Rd
Trenton, MI 48183-2400

Phone

(734) 675-0585

NPI assigned

Nov 14, 2023

Last updated

Nov 14, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Megan Peters

Title

Credentialing Manager

Phone

(912) 430-4629

Specialties & licenses 1

Addresses

Other names 1

• Southshore Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mehul Chandravadan Patel, DDS

  • Dentist
  • Riverview, MI
  • NPI 1669577151
  NPD

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

{
    "created_epoch": "1699920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699920000000",
    "number": "1699549279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2861 WEST RD",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481832400",
            "telephone_number": "734-675-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2861 WEST RD",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481832400",
            "telephone_number": "734-675-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEHUL C. PATEL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-14",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "912-430-4629"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southshore Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lewis J McLaughlin, CRNA
• Renee McLean, NP
• Marissa McRae, SLP
• Erin Kathleen McRobert, LMSW
• Medical Rehabilitation Services Inc
• Jami Melton, LMSW
• Lisa Marie Merrill, M.S.,R.D.
• Kathryn A Merrow
• Ashleigh Luann Meyer, LLMSW
• Michael Ducato MD, PC

• Dental Clinic/Center in Trenton, MI
• Providers in Trenton, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.

Verify at the official NPI Registry.