MEDICARE: DR. DAVID DANIEL KADOE DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	041071	NY

General Provider Information

NPI Number	:	1497820179
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID DANIEL KADOE DDS

Provider Business Mailing Address
First Line	:	1181 HARBOR RD
Second Line	:
City	:	HEWLETT
State	:	NY
Zip	:	11557-2622
Country	:	US
Telephone Number	:	516-330-8317
Fax Number	:	516-544-4440

Provider Business Practice Location Address
First Line	:	1965 CONEY ISLAND AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11223-2328
Country	:	US
Telephone Number	:	718-998-0062
Fax Number	:	718-627-7153

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/21/2006
Last Update Date	:	08/12/2024

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