DR. SAMIR DILIP PATEL (NPI# 1649630492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649630492 |
| Entity Type | Individual |
| Full Name | DR. SAMIR DILIP PATEL |
| Credential | D.M.D. |
| Practice Address |
342 Patricia Ln Ste 103 Fort Mill SC 29708-6608 |
| Practice Telephone | 8033182790 |
| Practice Fax Number | 7045416712 |
| Mailing Telephone | 8036503712 |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2019-07-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0300X |
Dentist Specialization: Periodontics |
10337 | NC | Dental Providers |
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
8229 | SC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | DENTAL LICENSE | 8229 | 01 |
| NC | DENTAL LICENSE | 10337 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215350574 | Samir M Patel | Pharmacist | 3405 White Horse Rd Ste F, Greenville, SC 29611-5947 | 2014-01-22 |
| 1396075958 | Samir B Patel | Family Medicine | 11 Ellerdale Rd, Fallsington, PA 19054-1139 | 2010-01-05 |
| 1174758163 | Samir K Patel | Anesthesiology | 251 E Huron Street, F5-704, Chicago, IL 60611 | 2009-05-20 |
| 1992939532 | Samir H. Patel | Counselor | 1712 Highway 121 Byp N Ste I, Murray, KY 42071 | 2009-05-11 |
| 1396988911 | Samir Patel | Physical Therapist | 378 Colonia Blvd, Colonia, NJ 07067-2921 | 2009-04-13 |
| 1316102312 | Samir P Patel | Dentist | 205 N 2nd St, Thayer, MO 65791-1263 | 2008-07-20 |
| 1891903779 | Samir Rashmikant Patel | Internal Medicine | 6001 London Dr, Austin, TX 78745-3444 | 2007-05-21 |
| 1841334273 | Samir Patel | Optometrist | 5501 W Plainfield Rd, Countryside, IL 60525-3591 | 2007-02-18 |
| 1215001789 | Samir P Patel | Dentist | 332 Belleville Ave, Bloomfield, NJ 07003-3652 | 2006-11-17 |
| 1184652125 | Samir Purusottam Patel | Anesthesiology | 12480 N Rancho Vistoso Blvd, Ste 180, Oro Valley, AZ 85755-1994 | 2006-06-29 |
| Street Address |
342 PATRICIA LN STE 103 |
| City | FORT MILL |
| State | SC |
| Zip Code | 29708-6608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265089098 | Jennifer Priory O'keefe | Nurse Practitioner | 117 Stone Village Dr., Fort Mill, SC 29708 | 2019-08-26 |
| 1144790577 | Mary Kathleen Gerber | Speech-Language Pathologist | 1874 Second Baxter Crossing, Fort Mill, SC 29708 | 2018-11-28 |
| 1275016263 | R.e. Offutt, Dds, Ms and B.l. Cockerham Dds, Msp, Pllc | Dentist | 929 Market St, Fort Mill, SC 29708 | 2018-09-14 |
| 1861985384 | Hf Care Services LLC | Counselor | 150 B.w. Thomas Dr., 108, Fort Mills, SC 29708 | 2018-06-09 |
| 1134619802 | Myeyedr Optometry of South Carolina, LLC | Optometrist | 1826 Highway 160 W Ste 101, Fort Mill, SC 29708 | 2018-05-17 |
| 1255832549 | Lakeshore Dental Inc. | Dentist | 1200 Gold Hill Road, Fort Mill, SC 29708 | 2018-02-22 |
| 1407362338 | Smith Physical Therapy and Wellness | Physical Therapist | 2435 Highway 160 West, Suite 108, Tega Cay, SC 29708 | 2017-12-14 |
| 1841704244 | Modern Concepts, LLC | General Practice | 1808 Second Baxter Xing Ste 108, Fort Mill, SC 29708 | 2017-11-21 |
| 1942729355 | Alexis Rose Muttillo | Specialist/Technologist | 1054 Cameron Creek Pkwy, Tega Cay, SC 29708 | 2017-09-18 |
| 1407308208 | Brenda Terry | Acupuncturist | 1171 Market Street, Ste # 112, Fort Mill, SC 29708 | 2016-10-27 |
| Find all providers in zip 29708 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275016263 | R.e. Offutt, Dds, Ms and B.l. Cockerham Dds, Msp, Pllc | Dentist | 929 Market St, Fort Mill, SC 29708 | 2018-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851918882 | E.l. Centre Pointe Professional LLC | Dentist | 4965 Centre Pointe Dr Ste 100, North Charleston, SC 29418-6945 | 2020-06-25 |
| 1568084408 | Diane Jenkins Periodontics of Congaree, LLC | Dentist | 600 Congaree Rd, Greenville, SC 29607-3518 | 2020-05-14 |
| 1447769831 | Beaufort Oral and Facial Surgery, LLC | Dentist | 968 Ribaut Rd Ste 3, Beaufort, SC 29902-8002 | 2017-09-28 |
| 1487184727 | Hillary Nona Wright | Dentist | 1064 Gardner Rd Ste 110, Charleston, SC 29407-5711 | 2017-06-19 |
| 1649725102 | Carolina Periodontics & Dental Implants | Dentist | 112 W Broad St Unit 405, Greenville, SC 29601-2688 | 2016-08-24 |
| 1225410558 | Happy Teeth Happy Kids, LLC | Dentist | 3074 Deville St, Myrtle Beach, SC 29577-1569 | 2015-06-23 |
| 1750783338 | Frank C. Sparacino Dds Mhs PC | Dentist | 8800 Northpark Blvd, North Charleston, SC 29406-9226 | 2014-09-25 |
| 1346682754 | Tyresia Jovon White | Dentist | 440 Society Hill Dr Ste 201, Aiken, SC 29803 | 2013-07-25 |
| 1134472426 | Jeffrey J Laro | Dentist | 2090 Charlie Hall Blvd, Suite 100, Charleston, SC 29414-8200 | 2012-10-24 |
| 1407117385 | Kara Grasso Veeder | Dentist | 173 Ashley Ave Ste 119, Charleston, SC 29425-8908 | 2012-06-06 |
| Find all providers with the same taxonomy | ||||
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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.