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KATSUR DENTAL OF ARIZONA
NPI 1174771612
Dentist - General Practice in Goodyear, AZ

Active since September 08, 2008
105 N LITCHFIELD RD, GOODYEAR, AZ 85338(623) 932-3200(623) 932-3222 Get Directions Write a Review

NPPES record last updated: November 12, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Katsur Dental Of Arizona NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATSUR DENTAL OF ARIZONA (NPI 1174771612) is a healthcare organization registered as a general practice in Goodyear, Arizona and active in the NPI registry since September 2008. The organization lists Terri Gardiner, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1174771612
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKATSUR DENTAL OF ARIZONA, INC.
Location Address105 N LITCHFIELD RDGoodyear, AZ 85338-1617
Mailing Address926 Great Pond Dr, Suite 5000Altamonte Springs, FL 32714-7244 · (407) 772-5124 · Fax (407) 788-3572
Phone(623) 932-3200
Fax(623) 932-3222
Organization SubpartNo
Authorized OfficialTerri GardinerCredentialing Coordinator · (407) 772-5124
Enumeration DateSeptember 8, 2008
Last NPPES UpdateNovember 12, 2010
✔ NPI 1174771612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in AZ · 5216✔ Licensed in AZ · 5795
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
105 N LITCHFIELD RD, Goodyear, AZ 85338
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Other Names 1

Doing Business AsKatsur Dental Of Arizona

Other Identifiers 7

Other197645AZ · Onet Ahcccs#
Other294311AZ · Loan Kim Dao Ahcccs#
Other774457AZ · Skaalen Ahcccs#
Other561921AZ · Whatcott Ahcccs#
Other565806AZ · Santoro Ahcccs#
Other368780AZ · Group Ahcccs#
Other506058AZ · Turner Ahcccs#

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRENT N. MARTINEAU
Dentist (General Practice)
105 N LITCHFIELD RD
GOODYEAR, AZ 85338
Maricopa County (623) 932-3200
SOUTHWEST DENTAL CENTER, INC
Dentist
105 N LITCHFIELD RD
GOODYEAR, AZ 85338
Maricopa County (623) 932-3200
DR. TRAM VU DDS
Dentist
105 N LITCHFIELD RD
GOODYEAR, AZ 85338
Maricopa County (623) 932-3200
DR. HEATHER LEONARD RENC DMD
Dentist (General Practice)
105 N LITCHFIELD RD
GOODYEAR, AZ 85338
Maricopa County (623) 932-3200
MR. SOPHON HENG DDS
Dentist
105 N LITCHFIELD RD
GOODYEAR, AZ 85338
Maricopa County (623) 932-3200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katsur Dental Of Arizona, Inc.'s NPI number?

The NPI number for Katsur Dental Of Arizona, Inc. is 1174771612. It was assigned to this organization in the NPPES registry on September 8, 2008. The provider is doing business as Katsur Dental Of Arizona.

Where is Katsur Dental Of Arizona, Inc. located?

Katsur Dental Of Arizona, Inc. is located at 105 N Litchfield Rd, Goodyear, AZ 85338. The listed phone number is (623) 932-3200.

What is Katsur Dental Of Arizona, Inc.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Katsur Dental Of Arizona, Inc. was last updated on November 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.