Provider Demographics
NPI:1497256507
Name:CRONKHITE, KAREN ANN (RDH)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:ANN
Last Name:CRONKHITE
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3169 CHARANN DR
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:MI
Mailing Address - Zip Code:48843-8612
Mailing Address - Country:US
Mailing Address - Phone:517-546-7920
Mailing Address - Fax:
Practice Address - Street 1:3169 CHARANN DR
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:MI
Practice Address - Zip Code:48843-8612
Practice Address - Country:US
Practice Address - Phone:517-546-7920
Practice Address - Fax:517-546-7920
Is Sole Proprietor?:No
Enumeration Date:2018-02-23
Last Update Date:2018-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2902016234124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist