Provider Demographics
NPI:1891552071
Name:KATIE M SUGAR DMD PC
Entity Type:Organization
Organization Name:KATIE M SUGAR DMD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SUGAR
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:805-278-1650
Mailing Address - Street 1:1701 SOLAR DR STE 180
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93030-0150
Mailing Address - Country:US
Mailing Address - Phone:805-278-1650
Mailing Address - Fax:
Practice Address - Street 1:1701 SOLAR DR STE 180
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-0150
Practice Address - Country:US
Practice Address - Phone:805-278-1650
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-04
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental