Provider Demographics
NPI:1275777849
Name:ALONGI, DOMINICK JOSEPH (DDS)
Entity Type:Individual
Prefix:DR
First Name:DOMINICK
Middle Name:JOSEPH
Last Name:ALONGI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3621 RIDGELAKE DR STE 301
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-1739
Mailing Address - Country:US
Mailing Address - Phone:504-832-2433
Mailing Address - Fax:
Practice Address - Street 1:3621 RIDGELAKE DR STE 301
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-1739
Practice Address - Country:US
Practice Address - Phone:504-832-2433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-27
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA56991223E0200X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics
No122300000XDental ProvidersDentist