Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215423322 Individual Practitioner Male Practitioner

Dr. Ketan Patel , DDS

Dentist - General Practice • Frederick, MD

Professional Overview & Biography Verified Profile Summary

Dr. Ketan Patel, DDS is a registered healthcare professional specializing in Dentist - General Practice in Frederick, MD. Practice services are available at 176 THOMAS JOHNSON DR STE 200 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

176 Thomas Johnson Dr Ste 200

Frederick, MD 217024532

Telephone 3012647094
Associated Practice Facility / Clinic
🏢 The Wobbly Tooth Llc Facility NPI 1477238848

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Frederick, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.0 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
69 Specialists

Practicing in Frederick, MD (2555 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-04-27
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License VA 0401416146

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Dental License
18442 (MD)
Commercial Insurance / Payer ID Dental License
0401416146 (VA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Joe Nguyen , DDS, PhD

Dentist - General Practice

NPI 1093360604

Doctor of Dental Surgery, Doctor of Philosophy (Ph.D.)

NPI 1134911647

Doctor of Dental Surgery

NPI 1871088070

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location May 05, 2025

Registered at 176 THOMAS JOHNSON DR STE 200, FREDERICK, MD 217024532 (Tel: 3012647094)

📍
Updated Business Mailing Address May 05, 2025

Registered at 7115 FISH HATCHERY RD, FREDERICK, MD 217011716 (Tel: 7572375450)

📍
Updated Practice Location July 18, 2018

Registered at 395 NORFOLK AVE, VIRGINIA BEACH, VA 23451 (Tel: 7572375450)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2018

Dentist (License #0401416146 in VA)

NPI Profile Active July 02, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location July 02, 2018

Registered at 395 NORFOLK AVE, VIRGINIA BEACH, VA 234514459 (Tel: 7572375450)

📍
Updated Business Mailing Address July 02, 2018

Registered at 395 NORFOLK AVE, VIRGINIA BEACH, VA 234514459 (Tel: 7572375450)

👤
Provider Name / Credentials Updated July 02, 2018

Recorded as KETAN PATEL, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2018

Dentist (License #0401416146 in VA)

🟢
Initial NPI Registration & Enumeration July 02, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215423322
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 02, 2018
Last Update: May 05, 2025
Sole Proprietor: Yes

Mailing Address

7115 Fish Hatchery Rd

Frederick, MD 217011716

Phone: 7572375450

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.