Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Shivam Mukul Patel, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1629693080

Dr. Shivam Mukul Patel, DMD is a Student in an Organized Health Care Education/Training Program in Edison, New Jersey. Works from 3 locations. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2020
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

253 Talmadge Rd
Edison, NJ 08817-2833
Phone: (732) 692-3980
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 65 James St, Edison, NJ 08820-3947 — (732) 321-7000
  • 9 Alling St # 25, Newark, NJ 07102-5376 — (973) 297-1550

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 22DI02843400 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1629693080
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 11, 2020
Last updated in NPPESAugust 19, 2021
Certification dateAugust 19, 2021

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