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

Shivani Vasudev-Patel, DMD

Individual provider General Practice Dentistry · NPI 1497598650

Shivani Vasudev-Patel, DMD is a General Practice Dentistry in Kathleen, Georgia. Licensed in Georgia. Registered with an NPI since 2024.

Licensed in
GA
In the registry since
2024
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

674 Lake Joy Rd
Kathleen, GA 31047-2113
Phone: (478) 772-8883
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN124267 (GA)

Record details

NPI number1497598650
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 17, 2024
Last updated in NPPESJuly 15, 2026
Certification dateJuly 15, 2026
Mailing address1 Kneeland St, Boston, MA 02111-1527

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