Katcoff, I Gary
Katcoff, I Gary is an individual health care provider with primary practice located at 3559 Wheeler Road , Augusta GA 30909. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Katcoff, I Gary can be contacted via phone (706) 729-1725.Contact Information
Primary practice address
3559 Wheeler Road
Augusta GA 30909
Phone: (706) 729-1725
Fax: (706) 729-1728
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 09357 | Georgia |
Profile Details
| NPI number | 1699873786 |
|---|---|
| LBN Legal business name | Katcoff, I Gary |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699873786 | NPPES |
| Georgia | MEDICAID | 00239478A |
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