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NPI Code Detail

MEDICARE: MATTHEW S. CRONAN DMD

MEDICARE: MATTHEW S. CRONAN DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDN1856953MA

General Provider Information

NPI Number : 1568845501
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW S. CRONAN DMD
Provider Business Mailing Address
First Line : 2521 N LANDING RD STE 100
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23456-3460
Country : US
Telephone Number : 207-907-6389
Fax Number :
Provider Business Practice Location Address
First Line : 2521 N LANDING RD STE 100
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23456-3460
Country : US
Telephone Number : 757-430-9448
Fax Number : 757-427-5121
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2015
Last Update Date : 10/11/2023

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