Healthcare Provider Details

I. General information

NPI: 1225973472
Provider Name (Legal Business Name): MELANIE IRENE KATZ DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5300 ADAMS AVE PKWY STE 1
OGDEN UT
84405-6955
US

IV. Provider business mailing address

733 W SERRA WAY UNIT J302
SOUTH JORDAN UT
84095-5914
US

V. Phone/Fax

Practice location:
  • Phone: 801-476-1234
  • Fax:
Mailing address:
  • Phone: 917-757-2505
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number14282331-9926
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: