Provider Demographics
NPI:1316439193
Name:ALLIN, NAVEEN KRISHNA (DMD)
Entity type:Individual
Prefix:DR
First Name:NAVEEN
Middle Name:KRISHNA
Last Name:ALLIN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3941 SW 4TH PL
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-2712
Mailing Address - Country:US
Mailing Address - Phone:352-231-3789
Mailing Address - Fax:
Practice Address - Street 1:1325 NE 42ND ST
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34479-8635
Practice Address - Country:US
Practice Address - Phone:352-789-6968
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-06
Last Update Date:2018-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL234071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice