J Matthew Cronkhite Dds Pc

LBN: J Matthew Cronkhite Dds Pc
J Matthew Cronkhite Dds Pc is an health care organization with primary practice located at 3667 Braddock Dr Ste B , Lafayette IN 47909-7302. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. J Matthew Cronkhite Dds Pc can be contacted via phone (765) 471-6025, or through Stichter, Marti via phone (765) 471-6025.

Contact Information

Primary practice address
3667 Braddock Dr Ste B Lafayette IN 47909-7302
Phone: (765) 471-6025
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Stichter, Marti
Phone: (765) 471-6025

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 12010734A Indiana

Profile Details

NPI number 1003296955
LBN Legal business name J Matthew Cronkhite Dds Pc
DBA Doing business as
Authorized official Stichter, Marti
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2015
Last updated Jun 5th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003296955 NPPES
Indiana MEDICAID 200860550

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