Katsur Dental Of Arizona, Inc. is a Dental Clinic in Goodyear, Arizona. It is located at 105 N Litchfield Rd, Goodyear, AZ and its contact number is 623-932-3200. The authorized person for Katsur Dental Of Arizona, Inc. is Terri Gardiner
who is Credentialing Coordinator of the clinic and their contact number is 407-772-5124. Other organizations associated with this clinic are Katsur Dental Of Arizona, Inc., Southwest Dental Center, Inc, The primary license number for Katsur Dental Of Arizona, Inc. is 5216 (General Practice) in Arizona.
Katsur Dental Of Arizona, Inc. Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Katsur Dental Of Arizona, Inc. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Katsur Dental Of Arizona, Inc. |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 105 N Litchfield Rd, Goodyear,
Arizona, 85338-1617 |
| Phone: | 623-932-3200 |
| Fax: | 623-932-3222 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Terri Gardiner |
| Position: | Credentialing Coordinator |
| Contact Number: | 407-772-5124 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Katsur Dental Of Arizona, Inc. clinic are as mentioned below.
| NPI Number: | 1174771612 |
| NPI Enumeration Date: | 08 Sep, 2008 |
| NPI Last Update On: | 12 Nov, 2010 |
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
| Name | Specialization | NPI Number |
| Katsur Dental Of Arizona, Inc. | General Practice Dentistry | 1174771612 |
| Southwest Dental Center, Inc | Dentistry | 1508909300 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Katsur Dental Of Arizona, Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | 5216 | Arizona | Primary | |
| General Practice | 5795 | Arizona | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 565806 | Other | Arizona | Santoro Ahcccs# |
| 294311 | Other | Arizona | Loan Kim Dao Ahcccs# |
| 197645 | Other | Arizona | Onet Ahcccs# |
| 506058 | Other | Arizona | Turner Ahcccs# |
| 368780 | Other | Arizona | Group Ahcccs# |
| 561921 | Other | Arizona | Whatcott Ahcccs# |
| 774457 | Other | Arizona | Skaalen Ahcccs# |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Katsur Dental Of Arizona, Inc.
926 Great Pond Dr, Suite 5000
Altamonte Springs, Florida |
| Zip: | 32714-7244 |
| Phone Number: | 407-772-5124 |
| Fax Number: | 407-788-3572 |
Patients can reach Katsur Dental Of Arizona, Inc. at
105 N Litchfield Rd, Goodyear, Arizona or can
call to book an appointment on 623-932-3200.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.