Provider Demographics
NPI:1972769669
Name:DANOFF, K SCOTT (DMD, DABDSM, DASBA)
Entity type:Individual
Prefix:DR
First Name:K
Middle Name:SCOTT
Last Name:DANOFF
Suffix:
Gender:M
Credentials:DMD, DABDSM, DASBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4933 LITTLE NECK PKWY
Mailing Address - Street 2:
Mailing Address - City:LITTLE NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11362-1433
Mailing Address - Country:US
Mailing Address - Phone:718-229-4933
Mailing Address - Fax:
Practice Address - Street 1:4933 LITTLE NECK PKWY
Practice Address - Street 2:
Practice Address - City:LITTLE NECK
Practice Address - State:NY
Practice Address - Zip Code:11362-1433
Practice Address - Country:US
Practice Address - Phone:718-229-4933
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-01
Last Update Date:2024-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0375861223G0001X, 261QS1200X, 332B00000X, 332BC3200X, 1223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics
No1223G0001XDental ProvidersDentistGeneral Practice
No261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment