Provider Demographics
NPI:1184612400
Name:DRUGAN, DANIEL ROYCE (DDS)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:ROYCE
Last Name:DRUGAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:127 N BROADWAY ST
Mailing Address - Street 2:BOX 848
Mailing Address - City:NEW ULM
Mailing Address - State:MN
Mailing Address - Zip Code:56073-1715
Mailing Address - Country:US
Mailing Address - Phone:507-233-9400
Mailing Address - Fax:507-359-1739
Practice Address - Street 1:127 N BROADWAY ST
Practice Address - Street 2:BOX 848
Practice Address - City:NEW ULM
Practice Address - State:MN
Practice Address - Zip Code:56073-1715
Practice Address - Country:US
Practice Address - Phone:507-233-9400
Practice Address - Fax:507-359-1739
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN101771223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice