Avni Devendra Patel, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN123863 Issued in GA

Practice address

427 W Bankhead Hwy
Villa Rica, GA 30180-1702

Phone

(770) 456-2550

NPI assigned

May 22, 2023

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

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1942992862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 MANDEVILLE RD",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301175439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 W BANKHEAD HWY",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301801702",
            "telephone_number": "770-456-2550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631043024",
            "country_code": "US",
            "telephone_number": "314-833-2700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 W Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Kirksville",
            "state": "MO",
            "postal_code": "63501",
            "country_code": "US",
            "telephone_number": "866-626-2878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "AVNI",
        "middle_name": "DEVENDRA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-22",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN123863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Myers Osment
• Omobolaji Oluseyi Oyebanjo Popoola, MD
• Indupriya Palasani, M.D.
• Linda Palmer, OTR/L
• Parkway Anesthesia Consultants, PC
• Chirag A Patel
• Ketu Patel
• Kiran P Patel, RPH
• Nikesh Patel, PHARMD
• Kenya Adrian Patterson, L.P.C.

• General Practice Dentistry in Villa Rica, GA
• Providers in Villa Rica, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; 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.