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
—
—
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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