Provider Demographics
NPI:1538299128
Name:FOLINO, SCOTT NATHAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:NATHAN
Last Name:FOLINO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34911 US HWY 19 NORTH
Mailing Address - Street 2:SUITE 624
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34684
Mailing Address - Country:US
Mailing Address - Phone:727-784-0214
Mailing Address - Fax:727-786-0916
Practice Address - Street 1:34911 US HWY 19 NORTH
Practice Address - Street 2:SUITE 624
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684
Practice Address - Country:US
Practice Address - Phone:727-784-0214
Practice Address - Fax:727-786-0916
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN151491223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics