Cronin Family Dentistry PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

334805 Issued in MS

Legal business name

CRONIN FAMILY DENTISTRY PA

Practice address

112 Lamar Blvd
Hattiesburg, MS 39402

Phone

(601) 450-5550

Fax

(601) 450-5551

NPI assigned

Mar 17, 2010

Last updated

Feb 2, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alexis Bernal

Title

Quality Assurance Specialist - Cred

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph Michael Cronin, DDS

  • Dentist
  • Hattiesburg, MS
  • NPI 1255994828
  NPD (past)
• Samuel Eric Johnson, DMD

  • General Practice Dentistry
  • Hattiesburg, MS
  • NPI 1780176677
  NPD (past)
• Wesley Shields, DMD

  • General Practice Dentistry
  • Flowood, MS
  • NPI 1740868678
  NPD (past)

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

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769990400000",
    "number": "1902120199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 LAMAR BLVD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "39402",
            "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": "112 LAMAR BLVD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "39402",
            "telephone_number": "601-450-5550",
            "fax_number": "601-450-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRONIN FAMILY DENTISTRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-17",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A",
        "authorized_official_last_name": "BERNAL",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "QUALITY ASSURANCE SPECIALIST - CRED",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "334805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01571567",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02334274",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ted Jeffery Crawford, LMFT
• Virginia Crawford, MD
• Zachariah Lea Crawford, DMD
• Creative Mobilities, LLC
• Brittany Creel, PHARMD
• Christopher Kelly Cronin, D.M.D
• Joseph Michael Cronin, DDS
• Brandon John Crosby, PHARMD
• Haley Crosby, NP
• Samuel N Crosby, MD

• General Practice Dentistry in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; 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.