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General NPI Number Information
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NPI Number | 1528016631
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Entity Type | Individual
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Provider Name | ROBERT L. CRONYN DDS
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Gender | Male
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 09/20/2024
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Provider Practice Location Address
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Address Line | 3435 MAIN ST
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City | BUFFALO
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State | NY
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Zip | 14214-3001
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Country | US
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Telephone | 716-899-6637
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Fax | 706-787-2081
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Provider Business Mailing Address
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Address Line | UB ORAL & MAXILLOFACIAL SURGERY, INC 3435 MAIN STREET 112 SQUIRE HALL
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City | BUFFALO
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State | NY
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Zip | 14214-3001
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Country | US
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Telephone | 716-829-6637
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Fax | 716-829-2047
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223D0004X
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Taxonomy Name | Dental Anesthesiology
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License Number | 001117
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 036799
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 036799
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number | 036799
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License Number State | NY
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