Katsur Dental of Arizona, Inc.
NPI 1174771612 · General Practice Dentistry · Goodyear, AZ
Katsur Dental of Arizona, Inc. is a General Practice Dentistry organization in Goodyear, AZ (NPI 1174771612).
Provider details
- NPI number
- 1174771612
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Terri Gardiner, Credentialing Coordinator(407) 772-5124
- License
- 5795 (AZ)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Katsur Dental of Arizona
Registry dates
- Enumerated
- 2008-09-08
- Last updated
- 2010-11-12
Frequently asked questions
- What is Katsur Dental of Arizona, Inc.'s NPI number?
- Katsur Dental of Arizona, Inc.'s National Provider Identifier (NPI) is 1174771612, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Katsur Dental of Arizona, Inc.?
- Katsur Dental of Arizona, Inc. is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Katsur Dental of Arizona, Inc. located?
- Katsur Dental of Arizona, Inc.'s practice location on file with NPPES is 105 N Litchfield Rd, Goodyear, AZ 85338-1617.
- What is Katsur Dental of Arizona, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Katsur Dental of Arizona, Inc. is (623) 932-3200.
- Who is the authorized official for Katsur Dental of Arizona, Inc.?
- The authorized official listed on Katsur Dental of Arizona, Inc.'s NPPES record is Terri Gardiner, Credentialing Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Katsur Dental of Arizona, Inc.'s NPI active?
- Yes — Katsur Dental of Arizona, Inc.'s NPI (1174771612) is active in the NPPES registry as of the last update on 2010-11-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.