PRATIKKUMAR PRAVINBHAI PATEL DDS NPI 1093215881

NPI Information

  • NPI: 1093215881
  • Provider Name: PRATIKKUMAR PRAVINBHAI PATEL, DDS
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3634 WHEELER RD
    AUGUSTA, GA
    ZIP 30909
  • Phone: (706) 860-8228

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NPI Details

Pratikkumar Pravinbhai Patel, DDS is an oral and maxillofacial surgery dentist in Augusta, GA with 8 years of experience. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. Pratikkumar Pravinbhai Patel, DDS NPI is 1093215881. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEHARRY MEDICAL COLLEGE SCHOOL OF DENTISTRY
Graduation Year:2018

The provider's business location address is:

3634 WHEELER RD
AUGUSTA, GA
ZIP 30909-518
Phone: (706) 860-8228

The NPI 1093215881 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 2/18/2018 and was last updated on 8/5/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentist35841TEXASNo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
31223S0112XDentistOral and Maxillofacial SurgeryDN122522GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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