Provider Demographics
NPI:1225105539
Name:KATZ, ALAN PHILIP (DMD)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:PHILIP
Last Name:KATZ
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 1:6339 E GREENWAY RD
Mailing Address - Street 2:#113
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254
Mailing Address - Country:US
Mailing Address - Phone:480-991-8223
Mailing Address - Fax:480-991-9068
Practice Address - Street 1:6339 E GREENWAY RD
Practice Address - Street 2:#113
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254
Practice Address - Country:US
Practice Address - Phone:480-991-8223
Practice Address - Fax:480-991-9068
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3229122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist