Healthcare Provider Details

I. General information

NPI: 1255243176
Provider Name (Legal Business Name): MATTHEW BATTISTE DDS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1019 KEYES AVE
SCHENECTADY NY
12309-5749
US

IV. Provider business mailing address

1019 KEYES AVE
SCHENECTADY NY
12309-5749
US

V. Phone/Fax

Practice location:
  • Phone: 518-617-9353
  • Fax:
Mailing address:
  • Phone: 518-617-9353
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW BATTISTE
Title or Position: DENTIST
Credential: DDS
Phone: 518-617-9353