Provider Demographics
NPI:1962527796
Name:ALONGI, KATHERINE E (DDS)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:E
Last Name:ALONGI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:E
Other - Last Name:VO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:704 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MADISONVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70447-9717
Mailing Address - Country:US
Mailing Address - Phone:985-845-3211
Mailing Address - Fax:985-845-2895
Practice Address - Street 1:704 MAIN ST
Practice Address - Street 2:
Practice Address - City:MADISONVILLE
Practice Address - State:LA
Practice Address - Zip Code:70447-9717
Practice Address - Country:US
Practice Address - Phone:985-845-3211
Practice Address - Fax:985-845-2895
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA57441223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1857441Medicaid