Provider Demographics
NPI:1578342317
Name:KATZ, MILANA (DDS)
Entity Type:Individual
Prefix:DR
First Name:MILANA
Middle Name:
Last Name:KATZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 E 28TH ST APT 14K
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-7976
Mailing Address - Country:US
Mailing Address - Phone:305-733-1985
Mailing Address - Fax:
Practice Address - Street 1:100 GREYROCK PL
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06901-3118
Practice Address - Country:US
Practice Address - Phone:203-348-0300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-21
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI029941001223G0001X
FLDN28571223G0001X
CT139171223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice