Organization Active NPI

Cronin Family Dentistry of Laurel, PLLC

  • General Practice Dentistry
  • Laurel, MS
National Provider Identifier
1285958009
Registry record updated Mar 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
334805 Issued in MS
Legal business name
CRONIN FAMILY DENTISTRY OF LAUREL, PLLC
Practice address
3228 Old Bay Springs Rd
Laurel, MS 39440-1453
Phone
(601) 450-5550
Fax
(601) 450-5551
NPI assigned
Mar 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Christopher Kelly Cronin, D.M.D.
Title
Owner/Dentist
Phone
(601) 450-5550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 334805 MS Primary

Addresses

Primary practice location

3228 Old Bay Springs Rd
Laurel, MS 39440-1453

Mailing address

3228 Old Bay Springs Rd
Laurel, MS 39440-1453
Phone (601) 450-5550

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269302400000",
    "number": "1285958009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3228 OLD BAY SPRINGS RD",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394401453",
            "telephone_number": "601-450-5550",
            "fax_number": "601-450-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3228 OLD BAY SPRINGS RD",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394401453",
            "telephone_number": "601-450-5550",
            "fax_number": "601-450-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRONIN FAMILY DENTISTRY OF LAUREL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-23",
        "last_updated": "2010-03-23",
        "status": "A",
        "authorized_official_last_name": "CRONIN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "KELLY",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "601-450-5550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "334805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.