Organization Name: | CATEY DENTISTRY, P.C. |
NPI Number: | 1528232410 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARA CATEY-WILLIAMS (OWNER) |
Mailing Address: | 115 S 2nd St Gas City |
State: | IN US |
Postal Code: | 469331704 |
Phone Number: | 7656747241 |
Fax Number: | 7656746570 |
NPI Enumeration Date: | 04/22/2008 |
NPI Last Update Date: | 04/22/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | 9658 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |