Provider Demographics
NPI:1386207785
Name:CATTRON'S DMD, PLLC
Entity Type:Organization
Organization Name:CATTRON'S DMD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JARED
Authorized Official - Middle Name:
Authorized Official - Last Name:CATTRON
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:602-761-8754
Mailing Address - Street 1:4024 E GUADALUPE RD STE 105
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85234-7672
Mailing Address - Country:US
Mailing Address - Phone:602-761-8754
Mailing Address - Fax:
Practice Address - Street 1:4024 E GUADALUPE RD STE 105
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85234-7672
Practice Address - Country:US
Practice Address - Phone:602-761-8754
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-21
Last Update Date:2019-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty