Provider Demographics
NPI:1699904615
Name:DROBNY, ELIZA P (DDS, MD)
Entity type:Individual
Prefix:
First Name:ELIZA
Middle Name:P
Last Name:DROBNY
Suffix:
Gender:F
Credentials:DDS, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:985180 NEBRASKA MEDICAL CTR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68198-5180
Mailing Address - Country:US
Mailing Address - Phone:402-559-6445
Mailing Address - Fax:
Practice Address - Street 1:UNMC OMFS
Practice Address - Street 2:985180 NEBRASKA MEDICAL CTR
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68198-5180
Practice Address - Country:US
Practice Address - Phone:402-559-6445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-12
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE6869122300000X
IL019027949122300000X
IL036139262204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery
No122300000XDental ProvidersDentist