Peter Noel Vincent Drouillard, DDS

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

30-022368 Issued in OH

Practice address

3145 Garden Ave Ste 1278
San Antonio, TX 78234-7719

Phone

(210) 808-3735

NPI assigned

Jul 10, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1104850817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 STANLEY RD RM 1138",
            "city": "JBSA FT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782347697",
            "telephone_number": "520-853-5219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3145 GARDEN AVE STE 1278",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782347719",
            "telephone_number": "210-808-3735"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2940 Stanley Rd",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782342740",
            "country_code": "US",
            "telephone_number": "210-295-4095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DROUILLARD",
        "first_name": "PETER",
        "middle_name": "NOEL VINCENT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-022368",
            "primary": false
        },
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "OH",
            "license": "30-022368",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30-022368",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Drosche
• Catherine A Drouillard, LCSW
• Darrell Drouillard
• Gary James Drouillard, M.D.
• Luz Drouillard
• Lisa Whipple Drozdick, PH.D.
• DRS Jeffords & Offutt, Pediatric Dentistry, PC
• DRS. Bell, Davis, Elder & Assoc
• DRS. Ned D. Lunt & Winston O. Miller, P.C.
• Allison Ruth Druhan

• Public Health Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Public Health Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.