| J Matthew Cronkhite Dds Pc | |
|
3667 Braddock Dr Ste B Lafayette IN 47909-7302 | |
| (765) 471-6025 | |
| Not Available |
| Full Name | J Matthew Cronkhite Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 3667 Braddock Dr Ste B, Lafayette, Indiana |
| Authorized Official Name and Position | Marti Stichter (OFFICE MANAGER) |
| Authorized Official Contact | 7654716025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J Matthew Cronkhite Dds Pc 3667 Braddock Dr Ste B Lafayette IN 47909-7302 Ph: (765) 471-6025 | J Matthew Cronkhite Dds Pc 3667 Braddock Dr Ste B Lafayette IN 47909-7302 Ph: (765) 471-6025 |
| NPI Number | 1003296955 |
|---|---|
| Provider Enumeration Date | 06/05/2015 |
| Last Update Date | 06/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003296955 | NPI | - | NPPES |
| 200860550 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12010734A (Indiana) | Primary |
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