Provider Demographics
NPI:1063303634
Name:PATRICIA SCIORTINO DDS PLLC
Entity type:Organization
Organization Name:PATRICIA SCIORTINO DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:S
Authorized Official - Last Name:SCIORTINO-KING
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:516-636-5115
Mailing Address - Street 1:76 E MAIN ST STE 4
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-2837
Mailing Address - Country:US
Mailing Address - Phone:516-636-5115
Mailing Address - Fax:516-908-6511
Practice Address - Street 1:76 E MAIN ST STE 4
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-2837
Practice Address - Country:US
Practice Address - Phone:516-636-5115
Practice Address - Fax:516-908-6511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-11
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment