Provider Demographics
NPI:1033368386
Name:KRYN, NATHAN JAMES (DDS)
Entity Type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:JAMES
Last Name:KRYN
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:PO BOX 190
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27528-0190
Mailing Address - Country:US
Mailing Address - Phone:919-553-8746
Mailing Address - Fax:919-359-1712
Practice Address - Street 1:101 WINDING WOOD DR
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27520-4493
Practice Address - Country:US
Practice Address - Phone:919-553-8746
Practice Address - Fax:919-359-1712
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-11
Last Update Date:2010-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC82311223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics