Healthcare Provider Details

I. General information

NPI: 1730094913
Provider Name (Legal Business Name): NAGLIERI ENDODONTICS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

360 COGAN DR. SE, STE 101
PALM BAY FL
32909
US

IV. Provider business mailing address

360 COGAN DR. SE, STE 101
PALM BAY FL
32909
US

V. Phone/Fax

Practice location:
  • Phone: 321-378-4555
  • Fax:
Mailing address:
  • Phone: 321-378-4555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER NAGLIERI
Title or Position: OWNER DENTIST
Credential: DMD
Phone: 321-378-4555