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Contact Information

CRONIN FAMILY DENTISTRY PA
112 LAMAR BLVD
HATTIESBURG, MS39402
 Phone: 601-450-5550
 Fax: 601-450-5551
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for CRONIN FAMILY DENTISTRY PA

NPI # 1902120199
LBN Legal business name CRONIN FAMILY DENTISTRY PA
Authorized official ALEXIS BERNAL - (QUALITY ASSURANCE SPECIALIST - CRED)
Entity Organization
Organization subpart 1 No
Enumeration date 03/17/2010
Last updated 02/02/2026 - About 4 months ago
Identifiers
MS License # 334805
MS Medicaid 01571567
MS Medicaid 02334274
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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