Provider Demographics
NPI:1447076641
Name:KADAR, THOMAS ALEXANDER (DMD)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:ALEXANDER
Last Name:KADAR
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1909 WATERFRONT PL
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15222-5701
Mailing Address - Country:US
Mailing Address - Phone:856-889-0546
Mailing Address - Fax:
Practice Address - Street 1:2900 SEMINARY DR BLDG E
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-3734
Practice Address - Country:US
Practice Address - Phone:724-552-2950
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-03
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0447731223G0001X, 1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
No1223G0001XDental ProvidersDentistGeneral Practice