Healthcare Provider Details

I. General information

NPI: 1144304155
Provider Name (Legal Business Name): MICHAEL KATZ DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 W MERCHANT ST SUITE A
AUDUBON NJ
08106-1424
US

IV. Provider business mailing address

3048 BARBER LN
MIDDLETOWN DE
19709-3249
US

V. Phone/Fax

Practice location:
  • Phone: 856-547-9151
  • Fax: 856-547-9152
Mailing address:
  • Phone: 856-904-9475
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDS024174L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number22DI01499502
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: