Provider Demographics
NPI:1841683927
Name:DR. ALAN P. KATZ FAMILY DENTISTRY
Entity type:Organization
Organization Name:DR. ALAN P. KATZ FAMILY DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:PHILIP
Authorized Official - Last Name:KATZ
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:480-991-8223
Mailing Address - Street 1:6339 E GREENWAY RD
Mailing Address - Street 2:SUITE 113
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-6525
Mailing Address - Country:US
Mailing Address - Phone:480-991-8223
Mailing Address - Fax:480-991-9068
Practice Address - Street 1:6339 E GREENWAY RD
Practice Address - Street 2:SUITE 113
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-6525
Practice Address - Country:US
Practice Address - Phone:480-991-8223
Practice Address - Fax:480-991-9068
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-12
Last Update Date:2015-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ32291223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty