Provider Demographics
NPI:1912741794
Name:3D CAT SCAN CORP.
Entity type:Organization
Organization Name:3D CAT SCAN CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:KADOE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:516-632-5831
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:516-632-5831
Mailing Address - Fax:
Practice Address - Street 1:124 WOODCLEFT AVE
Practice Address - Street 2:
Practice Address - City:FREEPORT
Practice Address - State:NY
Practice Address - Zip Code:11520-6132
Practice Address - Country:US
Practice Address - Phone:516-632-5831
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-25
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes126900000XDental ProvidersDental Laboratory TechnicianGroup - Multi-Specialty