Healthcare Provider Details

I. General information

NPI: 1326238023
Provider Name (Legal Business Name): ANDREW GARDNER DROLLINGER D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2007
Last Update Date: 02/12/2021
Certification Date: 02/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6410 FANNIN ST STE 310
HOUSTON TX
77030-3004
US

IV. Provider business mailing address

2115 CACTUS BLOOM LN
KATY TX
77494-3035
US

V. Phone/Fax

Practice location:
  • Phone: 713-500-5888
  • Fax:
Mailing address:
  • Phone: 310-903-2612
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number35073
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code1223X2210X
TaxonomyOrofacial Pain Dentistry
License Number35073
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: