Michael Francis Dragonjac, D.M.D.

Individual provider Active NPI General Practice Dentistry · Monaca, PA

NPI 1124173018 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1124173018
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
DS022962L (PA)
Practice address
300 Marshall Rd
Monaca, PA 15061-1142
Phone
(724) 775-4115
Fax
(724) 775-4109
NPI assigned
Jan 24, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
DS022962LPAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Michael F Dragonjac DMD LLC General Practice Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS022962L PA Yes

Addresses

Primary practice location

300 Marshall Rd
Monaca, PA 15061-1142

Mailing address

118 Barrett Dr
Beaver, PA 15009-9788
Phone (724) 775-4773

Other providers in Monaca, PA

All providers in Monaca, PA · General Practice Dentistry in Pennsylvania

Sources for this page

Verify at the official NPI Registry.