Healthcare Provider Details

I. General information

NPI: 1689097305
Provider Name (Legal Business Name): DANOFF DENTAL & ASSOCIATES, LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2014
Last Update Date: 08/18/2024
Certification Date: 08/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4933 LITTLE NECK PKWY
LITTLE NECK NY
11362-1433
US

IV. Provider business mailing address

49-33 LITTLE NECK PARKWAY
LITTLE NECK NY
11362-1433
US

V. Phone/Fax

Practice location:
  • Phone: 718-229-9333
  • Fax: 718-229-3864
Mailing address:
  • Phone: 718-229-4933
  • Fax: 718-229-3864

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223D0001X
TaxonomyPublic Health Dentistry
License Number037586
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DR. K SCOTT DANOFF
Title or Position: PRESIDENT
Credential: DMD
Phone: 718-229-4933