Provider Demographics
NPI:1598025249
Name:KATCHEN, NICHOLAS SEAN (DDS)
Entity type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:SEAN
Last Name:KATCHEN
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 1:150 55TH ST.
Mailing Address - Street 2:LUTHERAN MEDICAL CENTER STATION 3-03
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220
Mailing Address - Country:US
Mailing Address - Phone:718-630-6808
Mailing Address - Fax:718-630-8894
Practice Address - Street 1:150 55TH ST
Practice Address - Street 2:LUTHERAN MEDICAL CENTER - STATION 3-03
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-2508
Practice Address - Country:US
Practice Address - Phone:718-630-6808
Practice Address - Fax:718-630-8894
Is Sole Proprietor?:No
Enumeration Date:2012-05-29
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY057362122300000X, 1223G0001X, 1223P0221X
NY573621223D0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0004XDental ProvidersDentistDental Anesthesiology
No122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice
No1223P0221XDental ProvidersDentistPediatric Dentistry