Provider Demographics
NPI:1285763771
Name:KATZ, STEVEN M (DMD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:M
Last Name:KATZ
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 1:116 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:MALVERNE
Mailing Address - State:NY
Mailing Address - Zip Code:11565-1635
Mailing Address - Country:US
Mailing Address - Phone:516-599-0883
Mailing Address - Fax:516-599-0227
Practice Address - Street 1:116 BROADWAY
Practice Address - Street 2:
Practice Address - City:MALVERNE
Practice Address - State:NY
Practice Address - Zip Code:11565-1635
Practice Address - Country:US
Practice Address - Phone:516-599-0883
Practice Address - Fax:516-599-0227
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY375781223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice