Individual
DR. MICHAEL MONROE KATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
708 SANFORD RD, WESTPORT, MA 02790-4038
(508) 675-0561
Mailing address
708 SANFORD RD, WESTPORT, MA 02790-4038
(508) 675-0561
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12848
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
405-1
UNITED HEALTHCARE
KY
01
—
695979
UNITED CONCORDIA
PA
01
—
8652-7
BLUE CROSS BLUE SHIELD
RI
01
—
X10509
BLUE CROSS BLUE SHIELD
MA
Enumeration date
03/27/2007
Last updated
07/08/2007
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