# MATTHEW CRONAN, DMD, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lighthouse Dental Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255042073
- **Authorized official:** SHANNON CRONAN (OFFICE ADMINISTRATOR)
- **Authorized official phone:** (757) 430-9448

## Contact information

- **Practice address:** 2521 N LANDING RD STE 100, VIRGINIA BEACH, VA 23456-3460
- **Practice address phone:** (757) 430-9448
- **Mailing address:** 2521 N LANDING RD STE 100, VIRGINIA BEACH, VA 23456-3460
- **Mailing address phone:** (757) 430-9448

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 12/13/2022
- **Last updated:** 12/13/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 13966489811 | PROVIDER NPI | — |
| 01 | — | 1821103714 | PROVIDER NPI | — |