Provider Demographics
NPI:1497820179
Name:KADOE, DAVID DANIEL (DDS)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:DANIEL
Last Name:KADOE
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 1:1181 HARBOR RD
Mailing Address - Street 2:
Mailing Address - City:HEWLETT
Mailing Address - State:NY
Mailing Address - Zip Code:11557-2622
Mailing Address - Country:US
Mailing Address - Phone:516-330-8317
Mailing Address - Fax:516-544-4440
Practice Address - Street 1:1965 CONEY ISLAND AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-2328
Practice Address - Country:US
Practice Address - Phone:718-998-0062
Practice Address - Fax:718-627-7153
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0410711223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice