Individual provider · NPI-1

Dr. Michael Adam Adragna, D.D.S.

Dentist, General Practice · New Orleans, LA

NPI number1689013039
StatusActive
Last updated in NPPESMar 19, 2021

Details

NPI
1689013039
Entity type
Individual (NPI-1)
Name
Dr. Michael Adam Adragna
Credential
D.D.S.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 19, 2013
Certification date
Mar 19, 2021
Last updated
Mar 19, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice6375LAYes

Practice location

4141 Bienville St Ste 105
New Orleans, LA 70119-5149

Phone 504-900-1195

Mailing address

4141 Bienville St Ste 105
New Orleans, LA 70119-5149

Phone 504-900-1195 · Fax 504-618-1385

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