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

Individual provider General Practice Dentistry · NPI 1962387290

Shivam Patel, DMD is a General Practice Dentistry in Santa Cruz, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2025
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

4100 Portola Dr Ste 2
Santa Cruz, CA 95062-4500
Phone: (831) 475-4100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 510 Whispering Wind Dr Ste 102, Tracy, CA 95377-8119 — (209) 830-7032

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 111841 (CA)

Record details

NPI number1962387290
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedAugust 6, 2025
Last updated in NPPESAugust 6, 2025
Certification dateAugust 3, 2025

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