Provider Demographics
NPI:1265593677
Name:KATZER, RONALD LEON (DDS)
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:LEON
Last Name:KATZER
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:BOX 147
Mailing Address - Street 2:140 E 9TH
Mailing Address - City:AUBURN
Mailing Address - State:KS
Mailing Address - Zip Code:66402
Mailing Address - Country:US
Mailing Address - Phone:785-256-2489
Mailing Address - Fax:785-256-2430
Practice Address - Street 1:140 E 9TH
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:KS
Practice Address - Zip Code:66402
Practice Address - Country:US
Practice Address - Phone:785-256-2489
Practice Address - Fax:785-256-2430
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS54561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice