Provider Demographics
NPI:1750450011
Name:SCIARRIO, STEPHEN GERARD (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:GERARD
Last Name:SCIARRIO
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 1:2 MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:HOOKSETT
Mailing Address - State:NH
Mailing Address - Zip Code:03106-1944
Mailing Address - Country:US
Mailing Address - Phone:603-668-5333
Mailing Address - Fax:603-624-4030
Practice Address - Street 1:2 MADISON AVE
Practice Address - Street 2:
Practice Address - City:HOOKSETT
Practice Address - State:NH
Practice Address - Zip Code:03106-1944
Practice Address - Country:US
Practice Address - Phone:603-668-5333
Practice Address - Fax:603-624-4030
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH30101223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice