Provider Demographics
NPI:1982045993
Name:NARAYANAN, MEGHNA SRINIVASAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:MEGHNA
Middle Name:SRINIVASAN
Last Name:NARAYANAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 E LAKE AVE
Mailing Address - Street 2:
Mailing Address - City:NEW CARLISLE
Mailing Address - State:OH
Mailing Address - Zip Code:45344-1465
Mailing Address - Country:US
Mailing Address - Phone:937-845-9422
Mailing Address - Fax:
Practice Address - Street 1:203 E LAKE AVE
Practice Address - Street 2:
Practice Address - City:NEW CARLISLE
Practice Address - State:OH
Practice Address - Zip Code:45344-1465
Practice Address - Country:US
Practice Address - Phone:937-842-9422
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-08
Last Update Date:2018-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019029460122300000X
OH30.025212122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist