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Organization
DR. JAMES T. KATSUR AND ASSOCIATES PC
Active
Organization
DR. JAMES T. KATSUR AND ASSOCIATES PC
Active
Other names
Katsur Dental & Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI GARDINER (CREDENTIALING COORDINATOR)
(407) 788-6533
Entity
Organization
Contact information
Practice address
1597 WASHINGTON PIKE, SUITE A5, BRIDGEVILLE, PA 15017-2881
(412) 279-4800
(412) 279-7119
Mailing address
926 GREAT POND DR, SUITE 2003, ALTAMONTE SPRINGS, FL 32714-7244
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009908580002
—
PA
05
—
0009908580004
—
PA
05
—
0009908580008
—
PA
05
—
0009908580010
—
PA
05
—
0009908580011
—
PA
05
—
0009908580012
—
PA
05
—
0009908580015
—
PA
05
—
0009908580016
—
PA
05
—
0009908580017
—
PA
05
—
0009908580018
—
PA
05
—
0009908580020
—
PA
05
—
0009908580021
—
PA
05
—
0009908580022
—
PA
Enumeration date
03/31/2006
Last updated
01/24/2013
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