Healthcare Provider Details

I. General information

NPI: 1376399600
Provider Name (Legal Business Name): NINA KARNUTA DMD, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/26/2024
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10931 STRICKLAND RD STE 101
RALEIGH NC
27615-2085
US

IV. Provider business mailing address

10931 STRICKLAND RD STE 101
RALEIGH NC
27615-2085
US

V. Phone/Fax

Practice location:
  • Phone: 919-844-7140
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License NumberDS044328
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number14566
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: