Provider Demographics
NPI:1104822477
Name:MAULE, MARGARET DROZDOWSKI (DMD)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:DROZDOWSKI
Last Name:MAULE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:
Other - Last Name:DROZDOWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:342 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06117-2500
Mailing Address - Country:US
Mailing Address - Phone:860-233-0552
Mailing Address - Fax:860-233-9614
Practice Address - Street 1:6 PARK PL STE 2
Practice Address - Street 2:
Practice Address - City:NEW BRITAIN
Practice Address - State:CT
Practice Address - Zip Code:06052-1403
Practice Address - Country:US
Practice Address - Phone:860-233-0552
Practice Address - Fax:860-233-9614
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0085301223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT002085307Medicaid