Hetal Sujal Patel, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

2901020257 Issued in MI

Practice address

2200 N Canton Center Rd Ste 100a
Canton, MI 48187-5037

Phone

(734) 981-8040

Fax

(734) 981-6432

NPI assigned

Jul 1, 2010

Last updated

Apr 20, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Arbor Blue Family Dental PLLC

  dba Stadium Family Dentistry of Ann Arbor

  • Dentist
  • Ann Arbor, MI
  • NPI 1891425351
  NPD Authorized official
• Canton Plymouth Family Dental PLLC

  dba Canton Plymouth Family Dentistry

  • Dentist
  • Canton, MI
  • NPI 1417690009
  NPD Authorized official
• Telegraph Family Dentistry PLLC

  • General Practice Dentistry
  • Taylor, MI
  • NPI 1285485227
  NPD Authorized official

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1780995043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44757 CHERRY HILL RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481881071",
            "telephone_number": "248-668-9419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 N CANTON CENTER RD STE 100A",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481875037",
            "telephone_number": "734-981-8040",
            "fax_number": "734-981-6432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2340 E Stadium Blvd",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481044823",
            "country_code": "US",
            "telephone_number": "734-994-5353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "HETAL",
        "middle_name": "SUJAL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-01",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901020257",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901020257",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dhwani Patel, PA-C
• Dipal Patel, DPT, PT
• Dipteshbhai Patel, PHARMACIST
• Dishant Mahendrabhai Patel, DDS
• Hardik Patel
• Ishan Patel, MD
• Janvi Patel
• Jay Patel, PTA
• Jigarkumar Ashokkumar Patel
• Kalpesh Ranchhodbhai Patel, PT

• Dentist in Canton, MI
• Providers in Canton, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.