Daniel C Croner, DDS
Individual provider Active NPI General Practice Dentistry · N Manchester, IN
NPI 1780773192 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1780773192
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 7334 (IN)
- Practice address
- 1209 St Rd 13 W
N Manchester, IN 46962-9100 - Phone
- (260) 982-4715
- Fax
- (260) 982-7950
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7334 | IN | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7334 | IN | Yes |
Addresses
Primary practice location
1209 St Rd 13 W
N Manchester, IN 46962-9100
Mailing address
1209 St Rd 13 W
N Manchester, IN 46962-9100
Phone (260) 982-4715
Other providers in N Manchester, IN
All providers in N Manchester, IN · General Practice Dentistry in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.