Gainesville Dental Center

Primary specialty

DentistTaxonomy code 122300000X

License

DN007359 Issued in GA

Legal business name

GAINESVILLE DENTAL CENTER

Practice address

1586 Park Hill Dr
Gainesville, GA 30501-1950

Phone

(770) 534-0697

Fax

(770) 534-1724

NPI assigned

Mar 28, 2007

Last updated

Jan 12, 2015By 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

Dr. Ketankumar G Patel, D.M.D.

Title

Dentist

Phone

(770) 534-0697

Specialties & licenses 3

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421020800000",
    "number": "1841319449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1586 PARK HILL DR",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305011950",
            "telephone_number": "770-534-0697",
            "fax_number": "770-534-1724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1586 PARK HILL DR",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305011950",
            "telephone_number": "770-534-0697",
            "fax_number": "770-534-1724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAINESVILLE DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2015-01-12",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KETANKUMAR",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "770-534-0697",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN012835",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN008017",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN007359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500129458D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003142235A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Philippe Gadegbeku, MD
• Lydia Gailey, DPT
• Gainesville City School System
• Gainesville Clearing House, Inc (New Hope Counseling)
• Gainesville Dental Associates LLC
• Gainesville Dental Group
• Gainesville Endoscopy Center, LLC
• Gainesville Eye Associates LLC
• Gainesville Eye Associates LLC (North Georgia Eye Associates)
• Gainesville Eye Center, LLC

• Dentist in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.