Individual provider · Type 1 NPI

Thomas A. Mortillaro, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Brooklyn, NY

NPI number 1063536787 Active

Practice location

9602 4th Ave
Brooklyn, NY 11209-7851

Call (718) 238-1615 Map

Fax (718) 238-2324

Mailing address

8890 15th Ave
Brooklyn, NY 11228-3901

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	045148 (NY)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1063536787

Thomas A. Mortillaro, DDS's National Provider Identifier is 1063536787, issued on Mar 19, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Brooklyn, NY. The record was last updated on Oct 14, 2026.