| Mark J Katz, Dds, Msd, Pa | |
|
2018 New Garden Rd Ste A Greensboro NC 27410-2486 | |
| (336) 286-5800 | |
| (336) 286-5801 |
| Full Name | Mark J Katz, Dds, Msd, Pa |
|---|---|
| Speciality | Dentist |
| Location | 2018 New Garden Rd Ste A, Greensboro, North Carolina |
| Authorized Official Name and Position | Mark Jay Katz (PRESIDENT/OWNER) |
| Authorized Official Contact | 3362865800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark J Katz, Dds, Msd, Pa 2018 New Garden Rd Ste A Greensboro NC 27410-2486 Ph: (336) 286-5800 | Mark J Katz, Dds, Msd, Pa 2018 New Garden Rd Ste A Greensboro NC 27410-2486 Ph: (336) 286-5800 |
| NPI Number | 1023109691 |
|---|---|
| Provider Enumeration Date | 09/27/2006 |
| Last Update Date | 06/27/2008 |
| Medicare PECOS PAC ID | 8022280775 |
|---|---|
| Medicare Enrollment ID | O20111003000003 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023109691 | NPI | - | NPPES |
| 8994777 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 4915 (North Carolina) | Primary |
| Provider Name | Mark Jay Katz |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1013008218 PECOS PAC ID: 9931371689 Enrollment ID: I20111003000008 |
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