Provider Demographics
NPI:1407297542
Name:AL-NASER, ABDULLAH NASER
Entity Type:Individual
Prefix:DR
First Name:ABDULLAH
Middle Name:NASER
Last Name:AL-NASER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:ABDULLAH
Other - Middle Name:N
Other - Last Name:NASER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2337 SW ARCHER RD
Mailing Address - Street 2:1057
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-1005
Mailing Address - Country:US
Mailing Address - Phone:352-665-3772
Mailing Address - Fax:
Practice Address - Street 1:2337 SW ARCHER RD
Practice Address - Street 2:1057
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-1005
Practice Address - Country:US
Practice Address - Phone:352-665-3772
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-16
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDRP1288122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist