MEDICARE: AMANDA RAE KRONQUIST DDS INC

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
1	1223G0001X	General Practice Dentistry	64750	CA

General Provider Information

NPI Number	:	1780053280
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMANDA RAE KRONQUIST DDS INC

Provider Business Mailing Address
First Line	:	1906 N BROADWAY
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92706-2610
Country	:	US
Telephone Number	:	714-547-6671
Fax Number	:

Provider Business Practice Location Address
First Line	:	1906 N BROADWAY
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92706-2610
Country	:	US
Telephone Number	:	714-547-6671
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. AMANDA RAE KRONQUIST
Credential	:	D.D.S.
Telephone Number	:	714-547-6671

Provider Enumeration Date	:	09/15/2015
Last Update Date	:	07/23/2020

Similar Medicare Providers

1275688756 — INTERGRO RESOURCES, INC
Practice Location Address:

1922 N BROADWAY
SANTA ANA, CA
92706-2610

Practice Phone: 714-901-4200
Practice Fax: 714-903-9425

1861614869 — SHERRILYN TONG RPT
Practice Location Address:

1922 N BROADWAY
SANTA ANA, CA
92706-2610

Practice Phone: 714-901-4200
Practice Fax: 714-903-9425

1114132636 — DR. JERRY LEE KRONQUIST D.D.S
Practice Location Address:

1906 N . BROADWAY
SANTA ANA, CA
92706-2610

Practice Phone: 714-547-6671
Practice Fax: 714-547-4385

1548445463 — JERRY L KRONQUIST SUNSET DENTAL GROUP INC
Practice Location Address:

1906 N BROADWAY
SANTA ANA, CA
92706-2610

Practice Phone: 714-547-6671
Practice Fax: 714-547-4385

1942645999 — JESSAMINE DOWNS
Practice Location Address:

1922 N BROADWAY
SANTA ANA, CA
92706-2610

Practice Phone: 714-901-4200
Practice Fax:

1245609734 — DR. AMANDA RAE KRONQUIST D.D.S.
Practice Location Address:

1906 N BROADWAY
SANTA ANA, CA
92706-2610

Practice Phone: 714-547-6671
Practice Fax:

Directions to “AMANDA RAE KRONQUIST DDS INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.