Provider Demographics
NPI:1396484333
Name:PATEL, RITU KASHYAP (DDS)
Entity type:Individual
Prefix:
First Name:RITU
Middle Name:KASHYAP
Last Name:PATEL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:504 NEW DOVER RD
Mailing Address - Street 2:
Mailing Address - City:COLONIA
Mailing Address - State:NJ
Mailing Address - Zip Code:07067-2418
Mailing Address - Country:US
Mailing Address - Phone:732-520-0306
Mailing Address - Fax:
Practice Address - Street 1:319 US HIGHWAY 130 # 14
Practice Address - Street 2:
Practice Address - City:EAST WINDSOR
Practice Address - State:NJ
Practice Address - Zip Code:08520-2735
Practice Address - Country:US
Practice Address - Phone:609-337-4291
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-28
Last Update Date:2022-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI02905500122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist