Katz, Mark Jay

Katz, Mark Jay is an sole proprietor health care provider with primary practice located at 2018 New Garden Rd Ste A , Greensboro NC 27410-2486. He recently has 2 registered licenses in different health care specialties including Dental Providers / Orthodontics and Dentofacial Orthopedics, Dental Providers / Dentist. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Katz, Mark Jay can be contacted via phone (336) 286-5800.

Contact Information

Primary practice address
2018 New Garden Rd Ste A Greensboro NC 27410-2486
Phone: (336) 286-5800
Fax: (336) 286-5801
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 4915 North Carolina
Dental Providers / Dentist 122300000X 4915 North Carolina

Profile Details

NPI number 1013008218
LBN Legal business name Katz, Mark Jay
Credentials DDS, MSD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2006
Last updated Aug 19th, 2011 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013008218 NPPES
North Carolina MEDICAID 8994777

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