3D Dental & Orthodotics LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

3D DENTAL & ORTHODOTICS LLC

Practice address

340 Dorset St
South Burlington, VT 05403-6306

Phone

(469) 434-9908

NPI assigned

Feb 15, 2024

Last updated

Feb 15, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Abd Al Hadi Kawaiah

Title

Owner

Phone

(469) 434-9908

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Abd Al Hadi Kawaiah

  • General Practice Dentistry
  • South Burlington, VT
  • NPI 1962282665
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1902661325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 DORSET ST",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036306",
            "telephone_number": "469-434-9908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 DORSET ST",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036306",
            "telephone_number": "469-434-9908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "3D DENTAL & ORTHODOTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "KAWAIAH",
        "authorized_official_first_name": "ABD",
        "authorized_official_middle_name": "AL HADI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-434-9908"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kevin H Acone, DMD

• Clinic/Center in South Burlington, VT
• Providers in South Burlington, VT by specialty
• Clinic/Center in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.