Provider Demographics
NPI:1558413278
Name:KATZ, BARRY H (DMD)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:H
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 1:7820 GLADES RD
Mailing Address - Street 2:250
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33434-4178
Mailing Address - Country:US
Mailing Address - Phone:561-470-0007
Mailing Address - Fax:561-470-0017
Practice Address - Street 1:7820 GLADES RD
Practice Address - Street 2:250
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33434-4178
Practice Address - Country:US
Practice Address - Phone:561-470-0007
Practice Address - Fax:561-470-0017
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN100831223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice