Healthcare Provider Details

I. General information

NPI: 1225193782
Provider Name (Legal Business Name): FRANK STANLEY DRONGOWSKI D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5132 LAPALCO BLVD
MARRERO LA
70072-4238
US

IV. Provider business mailing address

1107 S PETERS ST APT 309
NEW ORLEANS LA
70130-1761
US

V. Phone/Fax

Practice location:
  • Phone: 504-340-2401
  • Fax: 504-340-2423
Mailing address:
  • Phone: 504-598-9534
  • Fax: 504-654-1926

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number5154
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: