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SCOTT JOSEPH MAZZULO
NPI 1346957743
Dental Hygienist in Portland, OR

Active since November 04, 2022
10102 NE GLISAN ST, PORTLAND, OR 97220(704) 909-8509 Get Directions Write a Review

NPPES record last updated: November 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Scott Joseph Mazzulo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SCOTT JOSEPH MAZZULO (NPI 1346957743) is an individual dental hygienist in Portland, Oregon, licensed in Oregon (H8536) and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1346957743
Entity TypeIndividualMale
Primary Taxonomy124Q00000X
Provider Legal NameSCOTT JOSEPH MAZZULO
Location Address10102 NE GLISAN STPortland, OR 97220-4456
Mailing Address11296 Se Aquila StHappy Valley, OR 97086-7670 · (704) 909-8509
Phone(704) 909-8509
Sole ProprietorNo
Enumeration DateNovember 4, 2022
NPPES CertifiedNovember 3, 2022
✔ NPI 1346957743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
License✔ Licensed in OR · H8536
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
10102 NE GLISAN ST, Portland, OR 97220
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEANNA GRANDI DA
Dental Assistant
10102 NE GLISAN ST
PORTLAND, OR 97220
Multnomah County (503) 257-5959
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
Dentist (General Practice)
10102 NE GLISAN ST
PORTLAND, OR 97220
Multnomah County (800) 813-2000
YESICA LEON
Dentist (Pediatric Dentistry)
10102 NE GLISAN ST
PORTLAND, OR 97220
Multnomah County (503) 257-5959
MRS. MARLENE JOANNE CRANK RDH
Dental Hygienist
10102 NE GLISAN ST
PORTLAND, OR 97220
Multnomah County (503) 275-5959
LEAH DIXON DA
Dental Assistant
10102 NE GLISAN ST
PORTLAND, OR 97220
Multnomah County (503) 813-2000
MALVINA SHULIK RDH
Dental Hygienist
10102 NE GLISAN ST
PORTLAND, OR 97220
Multnomah County (503) 286-6868
JESSICA GIANG RDH
Dental Hygienist
10102 NE GLISAN ST
PORTLAND, OR 97220
Multnomah County (502) 286-6868
DR. DAVID M. TEETER DMD, MSD
Dentist (Orthodontics and Dentofacial Orthopedics)
10102 NE GLISAN ST
PORTLAND, OR 97220
Multnomah County (503) 257-5959

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Scott Mazzulo's NPI number?

The NPI number for Scott Mazzulo is 1346957743. It was assigned to this individual provider in the NPPES registry on November 4, 2022.

Where is Scott Mazzulo located?

Scott Mazzulo practices at 10102 NE Glisan St, Portland, OR 97220. The listed phone number is (704) 909-8509.

What is Scott Mazzulo's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

When was this NPI record last updated?

The NPPES record for Scott Mazzulo was last updated on November 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.