Provider Demographics
NPI:1215298393
Name:DRONET, DONOVAN CHASE (DDS)
Entity type:Individual
Prefix:DR
First Name:DONOVAN
Middle Name:CHASE
Last Name:DRONET
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5933 MILNE BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70124-1999
Mailing Address - Country:US
Mailing Address - Phone:337-263-4554
Mailing Address - Fax:
Practice Address - Street 1:4134 FLORIDA AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70065-2190
Practice Address - Country:US
Practice Address - Phone:504-469-6333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-05
Last Update Date:2013-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA62831223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice