Provider Demographics
NPI:1427110121
Name:CATERA, COLLEEN (DMD)
Entity type:Individual
Prefix:
First Name:COLLEEN
Middle Name:
Last Name:CATERA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:393 SUNRISE HWY
Mailing Address - Street 2:SUITE 3
Mailing Address - City:WEST BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11704-5909
Mailing Address - Country:US
Mailing Address - Phone:631-422-6901
Mailing Address - Fax:631-422-6902
Practice Address - Street 1:393 SUNRISE HWY
Practice Address - Street 2:SUITE 3
Practice Address - City:WEST BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11704-5909
Practice Address - Country:US
Practice Address - Phone:631-422-6901
Practice Address - Fax:631-422-6902
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-16
Last Update Date:2011-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY046723122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist