| Cronin Family Dentistry, P.a. | |
|
5128 Old Highway 11 Suite #7 Hattiesburg MS 39402-6233 | |
| (601) 450-5550 | |
| (601) 450-5551 |
| Full Name | Cronin Family Dentistry, P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5128 Old Highway 11, Hattiesburg, Mississippi |
| Authorized Official Name and Position | Christopher Kelly Cronin (DENTIST/OWNER) |
| Authorized Official Contact | 6014505550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cronin Family Dentistry, P.a. 5128 Old Highway 11 Suite #7 Hattiesburg MS 39402-6233 Ph: (601) 450-5550 | Cronin Family Dentistry, P.a. 5128 Old Highway 11 Suite #7 Hattiesburg MS 39402-6233 Ph: (601) 450-5550 |
| NPI Number | 1902120199 |
|---|---|
| Provider Enumeration Date | 03/17/2010 |
| Last Update Date | 03/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902120199 | NPI | - | NPPES |
| 01571567 | Medicaid | MS | |
| 02334274 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 334805 (Mississippi) | Primary |
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