Provider Demographics
NPI:1508967027
Name:NALBOR, ALLAN MICHAEL (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALLAN
Middle Name:MICHAEL
Last Name:NALBOR
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 W 73RD AVE
Mailing Address - Street 2:
Mailing Address - City:MERRILLVILLE BRA
Mailing Address - State:IN
Mailing Address - Zip Code:46410-3979
Mailing Address - Country:US
Mailing Address - Phone:219-769-3305
Mailing Address - Fax:219-769-4674
Practice Address - Street 1:40 W 73RD AVE
Practice Address - Street 2:
Practice Address - City:MERRILLVILLE BRA
Practice Address - State:IN
Practice Address - Zip Code:46410-3979
Practice Address - Country:US
Practice Address - Phone:219-769-3305
Practice Address - Fax:219-769-4674
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12007046B122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist