Provider Demographics
NPI:1225138589
Name:KATZ, HARMON ROBERT (DDS)
Entity Type:Individual
Prefix:MR
First Name:HARMON
Middle Name:ROBERT
Last Name:KATZ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5 RAVEN CT
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-2724
Mailing Address - Country:US
Mailing Address - Phone:732-246-2284
Mailing Address - Fax:732-246-2373
Practice Address - Street 1:76 LIVINGSTON AVE
Practice Address - Street 2:
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901-2520
Practice Address - Country:US
Practice Address - Phone:732-246-2284
Practice Address - Fax:732-246-2373
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI073831223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics