Individual
DR. JOHN MATTHEW CRONKHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3667 BRADDOCK DR, SUITE B, LAFAYETTE, IN 47909-7337
(765) 471-6025
(765) 471-6028
Mailing address
4998 WENDYS WAY, BLOOMINGTON, IN 47403-8813
(812) 322-6580
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010734A
IN
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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