Provider Demographics
NPI:1780948265
Name:YADAV, NAVEEN (DDS)
Entity type:Individual
Prefix:
First Name:NAVEEN
Middle Name:
Last Name:YADAV
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 1:741 WAYCROSS RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45240-3144
Mailing Address - Country:US
Mailing Address - Phone:440-387-9451
Mailing Address - Fax:
Practice Address - Street 1:741 WAYCROSS RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45240-3144
Practice Address - Country:US
Practice Address - Phone:440-387-9451
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-28
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.024492122300000X, 122300000X
KY9876122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist