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Organization

CRONIN FAMILY DENTISTRY PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALEXIS BERNAL (QUALITY ASSURANCE SPECIALIST - CRED)
(972) 869-3789
Entity
Organization

Contact information

Practice address
112 LAMAR BLVD, HATTIESBURG, MS 39402
(601) 450-5550
(601) 450-5551
Mailing address
112 LAMAR BLVD, HATTIESBURG, MS 39402
(601) 450-5550
(601) 450-5551

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
334805
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01571567
MS
05
02334274
MS
Enumeration date
03/17/2010
Last updated
02/02/2026
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