Provider Demographics
NPI:1881206787
Name:NAGLIERI, KALYNN FOSTER (DMD, MSD)
Entity Type:Individual
Prefix:DR
First Name:KALYNN
Middle Name:FOSTER
Last Name:NAGLIERI
Suffix:
Gender:F
Credentials:DMD, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1040 STILLWELL DR UNIT 4301
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-6284
Mailing Address - Country:US
Mailing Address - Phone:954-425-2754
Mailing Address - Fax:
Practice Address - Street 1:2824 ROGERS RD STE 200
Practice Address - Street 2:
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27587-3896
Practice Address - Country:US
Practice Address - Phone:919-453-6325
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-20
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN234981223X0400X
NC117491223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics