Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Nicholas Marcello Mastroianni, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1023465770

Dr. Nicholas Marcello Mastroianni, DDS is a Student in an Organized Health Care Education/Training Program in Northport, New York. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

79 Middleville Rd
Northport, NY 11768-2200
Phone: (631) 261-4400
Fax: (631) 754-7982
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1023465770
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMay 23, 2016
Last updated in NPPESMay 23, 2016

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