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KATSUR DENTAL OF ARIZONA INC. NPI 1174771612


NPI Information

NPI: 1174771612
Provider Name: KATSUR DENTAL OF ARIZONA, INC.

Doing Business As: KATSUR DENTAL OF ARIZONA

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
105 N LITCHFIELD RD
GOODYEAR, AZ
ZIP 85338
Phone: (623) 932-3200
Get Directions

KATSUR DENTAL OF ARIZONA, INC. is a general practice dentist in Goodyear, AZ. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. KATSUR DENTAL OF ARIZONA, INC. NPI is 1174771612. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Katsur Dental Of Arizona.

The provider's business location address is:

105 N LITCHFIELD RD
GOODYEAR, AZ
ZIP 85338-617
Phone: (623) 932-3200
Fax: (623) 932-3222

The provider's authorized official is Terri Gardiner .
The authorized official title is Credentialing Coordinator and has the following contact phone number (407) 772-5124.

The enumeration date for this NPI number is 9/8/2008 and was last updated on 11/12/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice5795ARIZONANo
21223G0001XDentistGeneral Practice5216ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1197645OTHERARIZONAONET AHCCCS#
2294311OTHERARIZONALOAN KIM DAO AHCCCS#
3774457OTHERARIZONASKAALEN AHCCCS#
4561921OTHERARIZONAWHATCOTT AHCCCS#
5565806OTHERARIZONASANTORO AHCCCS#
6368780OTHERARIZONAGROUP AHCCCS#
7506058OTHERARIZONATURNER AHCCCS#

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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