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Organization
MATTHEW CRONAN, DMD, PLLC
Active
Organization
MATTHEW CRONAN, DMD, PLLC
Active
Other names
Lighthouse Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON CRONAN (OFFICE ADMINISTRATOR)
(757) 430-9448
Entity
Organization
Contact information
Practice address
2521 N LANDING RD STE 100, VIRGINIA BEACH, VA 23456-3460
(757) 430-9448
Mailing address
2521 N LANDING RD STE 100, VIRGINIA BEACH, VA 23456-3460
(757) 430-9448
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13966489811
PROVIDER NPI
—
01
—
1821103714
PROVIDER NPI
—
Enumeration date
12/13/2022
Last updated
12/13/2022
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