Provider Demographics
NPI:1386938520
Name:KLOSE, HEMITA PATEL (DMD)
Entity type:Individual
Prefix:DR
First Name:HEMITA
Middle Name:PATEL
Last Name:KLOSE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6100 TRAIL BLVD STE 206
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34108-2834
Mailing Address - Country:US
Mailing Address - Phone:239-262-1404
Mailing Address - Fax:
Practice Address - Street 1:6100 TRAIL BLVD STE 206
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34108-2834
Practice Address - Country:US
Practice Address - Phone:239-262-1404
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-06
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL193511223G0001X
NY058180-1122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Yes1223G0001XDental ProvidersDentistGeneral Practice