Dr. Jay Vijendra Patel, D.M.D.
Dentist, Orthodontics and Dentofacial Orthopedics in Lawrenceville, GA. Individual provider (NPI-1).
Details
- NPI
- 1528298080
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jay Vijendra Patel
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 19, 2009
- Certification date
- Oct 8, 2025
- Last updated
- Oct 8, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | DN013923 | GA | Yes |
Practice location
2087 Cruse Rd Ste BLawrenceville, GA 30044-2345
Phone 770-521-2100
Mailing address
2087 Cruse Rd Ste BLawrenceville, GA 30044-2345
Phone 770-521-2100
Other practice locations
Milton, GA 30004-5147
Phone 770-521-2100
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 13 Orthodontics and Dentofacial Orthopedics Dentistry providers in Lawrenceville · All 5,967 providers in Lawrenceville
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