Provider Demographics
NPI:1225105539
Name:KATZ, ALAN PHILIP (DMD)
Entity type:Individual
Prefix:
First Name:ALAN
Middle Name:PHILIP
Last Name:KATZ
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10786 E TERRA DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-6144
Mailing Address - Country:US
Mailing Address - Phone:480-703-8225
Mailing Address - Fax:480-703-8225
Practice Address - Street 1:2641 N 44TH ST STE 101
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85008-1573
Practice Address - Country:US
Practice Address - Phone:602-718-1600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2025-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6001981151223G0001X
AZ3229122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist