Individual provider · Type 1 NPI

Shivani Vasudev-Patel, DMD

General Practice Dentistry · Kathleen, GA

NPI number 1497598650 Active

Practice location

674 Lake Joy Rd
Kathleen, GA 31047-2113

Mailing address

1 Kneeland St
Boston, MA 02111-1527

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDN124267 (GA)

General Practice Dentistry: 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.

Another provider at this address

About NPI 1497598650

Shivani Vasudev-Patel, DMD's National Provider Identifier is 1497598650, issued on Jun 17, 2024. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Kathleen, GA. The record was last updated on Jul 15, 2026.