Healthcare Provider Details

I. General information

NPI: 1013148303
Provider Name (Legal Business Name): SHALINI NAIR D.M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2009
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1395 CENTER DR
GAINESVILLE FL
32610-0001
US

IV. Provider business mailing address

1395 CENTER DR
GAINESVILLE FL
32610-0001
US

V. Phone/Fax

Practice location:
  • Phone: 732-763-5843
  • Fax: 352-273-6757
Mailing address:
  • Phone: 732-763-5843
  • Fax: 352-273-6757

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN014356
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberDRPM3055
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: