Provider Demographics
NPI:1679633325
Name:KANA, DANIEL F (DDS)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:F
Last Name:KANA
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 1:42 DARBY LN
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03110-4516
Mailing Address - Country:US
Mailing Address - Phone:603-493-6998
Mailing Address - Fax:603-472-2538
Practice Address - Street 1:30 PINKERTON ST
Practice Address - Street 2:
Practice Address - City:DERRY
Practice Address - State:NH
Practice Address - Zip Code:03038-1504
Practice Address - Country:US
Practice Address - Phone:603-432-5039
Practice Address - Fax:603-425-2873
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH24211223G0001X
VT016-00012191223G0001X
NY039324-11223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice