Provider Demographics
NPI:1801137831
Name:WILLIAM J KATSUR, DMD
Entity type:Organization
Organization Name:WILLIAM J KATSUR, DMD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/ OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:KATSUR
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:412-831-9910
Mailing Address - Street 1:61 MCMURRAY RD
Mailing Address - Street 2:SUITE 100A
Mailing Address - City:UPPER ST CLAIR
Mailing Address - State:PA
Mailing Address - Zip Code:15241-1633
Mailing Address - Country:US
Mailing Address - Phone:412-831-9910
Mailing Address - Fax:412-831-9962
Practice Address - Street 1:61 MCMURRAY RD
Practice Address - Street 2:SUITE 100A
Practice Address - City:UPPER ST CLAIR
Practice Address - State:PA
Practice Address - Zip Code:15241-1633
Practice Address - Country:US
Practice Address - Phone:412-831-9910
Practice Address - Fax:412-831-9962
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-15
Last Update Date:2013-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS018636-L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty