Cronins Dental Pc

LBN: Cronins Dental Pc
Cronins Dental Pc is an health care organization with primary practice located at 225 Moody St , Waltham MA 02453. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Cronins Dental Pc can be contacted via phone (781) 647-8000, or through Ahn, Taejoon via phone (781) 647-8000.

Contact Information

Primary practice address
225 Moody St Waltham MA 02453
Phone: (781) 647-8000
Fax: (781) 647-8111
Website:
Map and Directions
Authorized official contact:
Name: Ahn, Taejoon Doctor of Dental Medicine (DMD)
Phone: (781) 647-8000

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1104955723
LBN Legal business name Cronins Dental Pc
DBA Doing business as
Authorized official Ahn, Taejoon Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 2nd, 2007
Last updated Aug 22nd, 2020 - about 4 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 1104955723 NPPES
Other X11231 BCBS

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