Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Katsur Dental of Arizona, Inc

Organization General Practice Dentistry · NPI 1174771612

Katsur Dental of Arizona, Inc provides 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 Not confirmed with CMS for 15 years — call before visiting
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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