Provider Demographics
NPI:1740495936
Name:KATZ, STEVEN J (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:J
Last Name:KATZ
Suffix:
Gender:M
Credentials:DDS, MS
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Mailing Address - Street 1:3690 ORANGE PL
Mailing Address - Street 2:SUITE 520
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-4464
Mailing Address - Country:US
Mailing Address - Phone:216-360-0090
Mailing Address - Fax:216-360-0098
Practice Address - Street 1:3690 ORANGE PL
Practice Address - Street 2:SUITE 520
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-4464
Practice Address - Country:US
Practice Address - Phone:216-360-0090
Practice Address - Fax:216-360-0098
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-01-82391223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics