Provider Demographics
NPI:1578616314
Name:CATEY, PHILIP L (DDS)
Entity Type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:L
Last Name:CATEY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 S 2ND ST
Mailing Address - Street 2:
Mailing Address - City:GAS CITY
Mailing Address - State:IN
Mailing Address - Zip Code:46933-1704
Mailing Address - Country:US
Mailing Address - Phone:765-674-7241
Mailing Address - Fax:765-674-6570
Practice Address - Street 1:115 S 2ND ST
Practice Address - Street 2:
Practice Address - City:GAS CITY
Practice Address - State:IN
Practice Address - Zip Code:46933-1704
Practice Address - Country:US
Practice Address - Phone:765-674-7241
Practice Address - Fax:765-674-6570
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12006087B1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice