Provider Demographics
NPI:1609885763
Name:KATZMAN, ROSS NEAL (DMD)
Entity Type:Individual
Prefix:DR
First Name:ROSS
Middle Name:NEAL
Last Name:KATZMAN
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 1:304 E COLONIAL DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32801-1206
Mailing Address - Country:US
Mailing Address - Phone:407-841-7321
Mailing Address - Fax:407-841-8591
Practice Address - Street 1:304 E COLONIAL DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32801-1206
Practice Address - Country:US
Practice Address - Phone:407-841-7321
Practice Address - Fax:407-841-8591
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-07
Last Update Date:2015-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN89111223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice