# RONALD W KATZ DMD PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cape Center Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396804308
- **Authorized official:** MRS. SHELLEY HOWE (INSURANCE SUPERVISOR)
- **Authorized official phone:** (910) 483-2700

## Contact information

- **Practice address:** 1357 WALTER REED RD, SUITE 101, FAYETTEVILLE, NC 28304-4415
- **Practice address phone:** (910) 483-2700
- **Practice address fax:** (910) 484-3352
- **Mailing address:** 1357 WALTER REED RD, SUITE 101, FAYETTEVILLE, NC 28304-4415
- **Mailing address phone:** (910) 483-2700
- **Mailing address fax:** (910) 484-3352

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 8077 | NC | Yes |

## Other

- **Enumeration date:** 12/06/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5902187 | — | NC |