Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Katsur Dental of Arizona, Inc

Organization General Practice Dentistry · NPI 1174771612

Katsur Dental of Arizona, Inc is a General Practice Dentistry in Goodyear, Arizona. Licensed in Arizona. Registered with an NPI since 2008.

Licensed in
AZ
In the registry since
2008
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

105 N Litchfield Rd
Goodyear, AZ 85338-1617
Phone: (623) 932-3200
Fax: (623) 932-3222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 5216 (AZ)
General Practice Dentistry Taxonomy 1223G0001X · Licence 5795 (AZ)

Record details

NPI number1174771612
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Terri Gardiner — Credentialing Coordinator · (407) 772-5124
Other names Katsur Dental Of Arizona
NPI enumeratedSeptember 8, 2008
Last updated in NPPESNovember 12, 2010
Mailing address926 Great Pond Dr, Suite 5000, Altamonte Springs, FL 32714-7244

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