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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHIVANI VASUDEV-PATEL DMD
NPI 1497598650
Dentist - General Practice in Kathleen, GA

Active since June 17, 2024
674 LAKE JOY RD, KATHLEEN, GA 31047(478) 772-8883 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 15, 2026, Jun 17, 2024 (2 updates tracked since 2024).

About Shivani Vasudev-patel Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHIVANI VASUDEV-PATEL DMD (NPI 1497598650) is an individual general practice provider in Kathleen, Georgia, licensed in Georgia (DN124267) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1497598650
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameSHIVANI VASUDEV-PATELCredential: DMD
Location Address674 LAKE JOY RDKathleen, GA 31047-2113
Mailing Address1 Kneeland StBoston, MA 02111-1527 · (770) 337-3508
Phone(478) 772-8883
Sole ProprietorNo
Enumeration DateJune 17, 2024
Last NPPES UpdateJuly 15, 20262 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
✔ NPI 1497598650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in GA · DN124267
Definition
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.
674 LAKE JOY RD, Kathleen, GA 31047
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GEORGIA DENTAL PROFESSIONALS, PC
Dentist (General Practice)
674 LAKE JOY RD
KATHLEEN, GA 31047
Houston County (478) 225-4572

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shivani Vasudev-patel's NPI number?

The NPI number for Shivani Vasudev-patel is 1497598650. It was assigned to this individual provider in the NPPES registry on June 17, 2024.

Where is Shivani Vasudev-patel located?

Shivani Vasudev-patel practices at 674 Lake Joy Rd, Kathleen, GA 31047. The listed phone number is (478) 772-8883.

What is Shivani Vasudev-patel's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Shivani Vasudev-patel was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.