Provider Demographics
NPI:1518381409
Name:SCOTT PITRONE SORKIN & JARVIS ORTHODONTICS
Entity Type:Organization
Organization Name:SCOTT PITRONE SORKIN & JARVIS ORTHODONTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCIAL COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:E
Authorized Official - Last Name:SCHATZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-848-6700
Mailing Address - Street 1:518 E BALTIMORE ST
Mailing Address - Street 2:
Mailing Address - City:TANEYTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21787-2402
Mailing Address - Country:US
Mailing Address - Phone:410-848-6700
Mailing Address - Fax:
Practice Address - Street 1:207 WASHINGTON HEIGHTS MED CTR
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-5632
Practice Address - Country:US
Practice Address - Phone:410-848-6700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-12
Last Update Date:2014-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD46501223X0400X
MD115141223X0400X
MD129161223X0400X
MD120601223X0400X
MD145091223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty