DR. SHRUTI J PATEL (NPI# 1639328859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639328859 |
| Entity Type | Individual |
| Full Name | DR. SHRUTI J PATEL |
| Credential | DDS |
| Practice Address |
101 Wildewood Park Dr Suite A Columbia SC 29223-4319 |
| Practice Telephone | 8033934600 |
| Mailing Telephone | 8033934600 |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2014-08-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
8065 | SC | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063010940 | Shruti Satish Patel | Nurse Practitioner | 78 Diana Dr, South Plainfield, NJ 07080-4437 | 2020-10-13 |
| 1912467911 | Shruti Ronak Patel | Nurse Practitioner | 7022 Baitland Dr, Missouri City, TX 77459-2040 | 2019-03-25 |
| 1780121848 | Shruti Patel | Nurse Practitioner | 3055 N Menard Ave, Chicago, IL 60634-5221 | 2017-01-27 |
| 1154666352 | Shruti Patel | Pharmacist | 2522 Double Tree Pl, Oviedo, FL 32766-7073 | 2012-11-29 |
| 1497029367 | Shruti D Patel | Physical Therapist | 4001 W 15th St Bldg 1, Suite 490, Plano, TX 75093-5841 | 2012-02-23 |
| 1396975355 | Shruti Rohit Patel | Optometrist | 1809 Reisterstown Rd, Pikesville, MD 21208-6321 | 2009-07-23 |
| 1184866592 | Shruti Patel | Physical Therapist | 803 S Route 59, Bartlett, IL 60103 | 2009-03-31 |
| 1447468772 | Shruti Patel | Family Medicine | 5001 Evergreen St, Bellaire, TX 77401-5014 | 2007-05-18 |
| 1174630487 | Shruti Parekh Patel | Internal Medicine | 39199 Liberty St Bldg B, Fremont, CA 94538-1501 | 2006-08-23 |
| 1093345365 | Shruti Mahendrakumar Patel | Pharmacist | 37700 W 12 Mile Rd, Farmington, MI 48331 | 2020-01-24 |
| Street Address |
101 WILDEWOOD PARK DR SUITE A |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29223-4319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356880678 | Greater Carolina Clinic of Chiropractic Inc | Chiropractor | 101 Wildewood Park Dr, Suite B, Columbia, SC 29223-4319 | 2017-02-20 |
| 1659775070 | Carolina Smile Studio Family Dentistry | Clinic/Center | 101 Wildewood Park Dr, Ste A, Columbia, SC 29223-4319 | 2014-10-14 |
| 1821408832 | Tyeler Chase Berry | Chiropractor | 101 Wildewood Park Dr, Suite B, Columbia, SC 29223-4319 | 2014-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619522794 | Timothy Drew Edwards | Dentist | 122 N. Brickyard Rd, Columbia, SC 29223 | 2019-08-06 |
| 1861983249 | Southern Pain Specialists | Physical Medicine & Rehabilitation | 115 Blarney Dr Ste 111, Columbia, SC 29223 | 2018-05-22 |
| 1710481452 | Evans Counseling and Consulting, LLC | Social Worker | 120 Wildewood Park Dr Ste A, Columbia, SC 29223 | 2018-03-19 |
| 1750824819 | Marquita Heyward | Counselor | 1 Winsor Cove Suite 303, Columbia, SC 29223 | 2016-11-22 |
| 1578015509 | Carolina Family Pharmacy, LLC | Pharmacy | 9153 Two Notch Road, Columbia, SC 29223 | 2016-10-25 |
| 1225485170 | Lisa Diaz | Occupational Therapy Assistant | 7601 Parlane Rd, Columbia, SC 29223 | 2016-05-20 |
| 1295199859 | Sarah Ann Riley | Nurse Practitioner | Cvs Pharmacy 121 Clemson Rd., Columbia, SC 29223 | 2016-04-11 |
| 1134583214 | Sara Alisha Pound | Behavioral Analyst | 97b Winterberry Ln, Columbia, SC 29223 | 2016-04-05 |
| 1508227653 | Lucy Elvira Vicioso-harris | Counselor | 1310 Oakcrest Dr Apt 318, Columbia, SC 29223 | 2016-03-17 |
| 1134585243 | Robin Heaton | Occupational Therapy Assistant | 7601 Parklane Road, Columbia, SC 29223 | 2016-01-05 |
| Find all providers in zip 29223 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184239832 | Adam Wesley Gadbois | Dentist | 220 Diego Dr, Columbia, MO 65203-4919 | 2020-09-10 |
| 1841803855 | Craig Thomas Luskey | Dentist | 4500 Stuart St Fl 3, Columbia, SC 29207-5700 | 2020-08-28 |
| 1710505169 | Dentists of Devine, PC | Dentist | 4600 Devine St Ste B, Columbia, SC 29205-3617 | 2020-07-13 |
| 1134745227 | Kayla White | Dentist | 1401 Forum Blvd Ste 203, Columbia, MO 65203-1915 | 2020-06-24 |
| 1962033001 | Ivy Creek Family Dentistry LLC | Dentist | 9007 Two Notch Rd Ste B, Columbia, SC 29223-5834 | 2020-01-28 |
| 1538701230 | Sulekha Agrawal Dmd LLC | Dentist | 9194 Red Branch Rd Ste A, Columbia, MD 21045-2005 | 2019-10-14 |
| 1619522794 | Timothy Drew Edwards | Dentist | 122 N. Brickyard Rd, Columbia, SC 29223 | 2019-08-06 |
| 1245885284 | Mana Shoeybi | Dentist | 6955 Oakland Mills Rd Ste 0, Columbia, MD 21045-5849 | 2019-08-06 |
| 1528628716 | Soh of Missouri Samson Liu PC | Dentist | 303 N Keene St # 202-210, Columbia, MO 65201-8050 | 2019-06-19 |
| 1417511783 | Molly Kayleen Pincelli | Dentist | Ph Usc Medical Group Dentistry, 10 Medical Park, Columbia, SC 29203 | 2019-04-23 |
| Find all providers in COLUMBIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.