Healthcare Provider Details

I. General information

NPI: 1225105539
Provider Name (Legal Business Name): ALAN PHILIP KATZ DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2006
Last Update Date: 09/20/2025
Certification Date: 09/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2641 N 44TH ST STE 101
PHOENIX AZ
85008-1573
US

IV. Provider business mailing address

10786 E TERRA DR
SCOTTSDALE AZ
85258-6144
US

V. Phone/Fax

Practice location:
  • Phone: 602-718-1600
  • Fax:
Mailing address:
  • Phone: 480-703-8225
  • Fax: 480-703-8225

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number3229
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number600198115
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: