Provider Demographics
NPI:1639304603
Name:KRON, STEVEN JAMES (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:JAMES
Last Name:KRON
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 1:1706 11TH AVE N
Mailing Address - Street 2:(DOCTORS PARK)
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56303-1200
Mailing Address - Country:US
Mailing Address - Phone:320-252-8800
Mailing Address - Fax:320-202-1014
Practice Address - Street 1:1706 11TH AVE N
Practice Address - Street 2:(DOCTORS PARK)
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56303-1200
Practice Address - Country:US
Practice Address - Phone:320-252-8800
Practice Address - Fax:320-202-1014
Is Sole Proprietor?:No
Enumeration Date:2009-05-20
Last Update Date:2009-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND12650122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist