Provider Demographics
NPI:1558672261
Name:ORA, MATTHEW CRONIN (DDS)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:CRONIN
Last Name:ORA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11140 HIGHLAND RD
Mailing Address - Street 2:
Mailing Address - City:HARTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48353-2702
Mailing Address - Country:US
Mailing Address - Phone:810-632-5700
Mailing Address - Fax:810-632-9168
Practice Address - Street 1:11140 HIGHLAND RD
Practice Address - Street 2:
Practice Address - City:HARTLAND
Practice Address - State:MI
Practice Address - Zip Code:48353-2702
Practice Address - Country:US
Practice Address - Phone:810-632-5700
Practice Address - Fax:810-632-9168
Is Sole Proprietor?:No
Enumeration Date:2010-06-28
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH390200000X
MI2901020354122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program