Provider Demographics
NPI:1518185552
Name:KALLIO, JENNIFER KAY (DDS)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:KAY
Last Name:KALLIO
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:UNC ADAMS SCHOOL OF DENTISTRY 385 S COLUMBIA
Mailing Address - Street 2:RESTORATIVE SCIENCES BAUER HALL 443
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7450
Mailing Address - Country:US
Mailing Address - Phone:919-445-0323
Mailing Address - Fax:402-472-6681
Practice Address - Street 1:UNC ADAMS SCHOOL OF DENTISTRY 385 S COLUMBIA
Practice Address - Street 2:RESTORATIVE SCIENCES BAUER HALL 443
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7450
Practice Address - Country:US
Practice Address - Phone:919-445-0323
Practice Address - Fax:402-472-6681
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13682122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist