Provider Demographics
NPI:1891282976
Name:VALERIO, KAITLIN (DDS)
Entity Type:Individual
Prefix:
First Name:KAITLIN
Middle Name:
Last Name:VALERIO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:KAITLIN
Other - Middle Name:
Other - Last Name:NOWLING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:9808 HOLLY CENTER DR APT 109
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-5112
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:202 WILLIAMSON RD STE 200
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117-7611
Practice Address - Country:US
Practice Address - Phone:704-360-8670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-15
Last Update Date:2020-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY390200000X1223P0221X
NC119661223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry