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NPI Code Detail

MEDICARE: DR. MICHAEL DAVID KATZ DMD

MEDICARE: DR. MICHAEL DAVID KATZ DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist12257CT

General Provider Information

NPI Number : 1568949345
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL DAVID KATZ DMD
Provider Business Mailing Address
First Line : 270 BURNSIDE AVE
Second Line :
City : EAST HARTFORD
State : CT
Zip : 06108-2315
Country : US
Telephone Number : 860-289-9558
Fax Number : 860-289-9054
Provider Business Practice Location Address
First Line : 270 BURNSIDE AVE
Second Line :
City : EAST HARTFORD
State : CT
Zip : 06108-2315
Country : US
Telephone Number : 860-289-9558
Fax Number : 860-289-9054
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2018
Last Update Date : 07/24/2018

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Directions to “ DR. MICHAEL DAVID KATZ DMD” Practice Location

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