Provider Demographics
NPI:1972526267
Name:DRONE, JOHN W (DDS)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:W
Last Name:DRONE
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 1:1245 RIVER DR
Mailing Address - Street 2:
Mailing Address - City:MUNSTER
Mailing Address - State:IN
Mailing Address - Zip Code:46321-1331
Mailing Address - Country:US
Mailing Address - Phone:219-972-0194
Mailing Address - Fax:
Practice Address - Street 1:901 FRAN LIN PKWY
Practice Address - Street 2:
Practice Address - City:MUNSTER
Practice Address - State:IN
Practice Address - Zip Code:46321-3540
Practice Address - Country:US
Practice Address - Phone:219-836-0460
Practice Address - Fax:219-836-1174
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12010439A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN12010439AOtherDENTIST LICENSE
IN12010439BOtherCONTOLLED SUBSTANCE REGIS
DCBD6146244OtherDEA REGISTRATION NUMBER