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

Shivam Patel

Individual provider General Practice Dentistry · NPI 1700532702

Shivam Patel is a General Practice Dentistry in Novato, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022

Practice location Address checks out

6090 Redwood Blvd
Novato, CA 94945-4569
Phone: (415) 448-1500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 110349 (CA)

Record details

NPI number1700532702
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 28, 2022
Last updated in NPPESJuly 25, 2024
Certification dateJuly 25, 2024
Mailing address3020 Childrens Way, San Diego, CA 92123-4223

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