Provider Demographics
NPI:1780773192
Name:CRONER, DANIEL C (DDS)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:C
Last Name:CRONER
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 1:1209 ST RD 13 W
Mailing Address - Street 2:
Mailing Address - City:N MANCHESTER
Mailing Address - State:IN
Mailing Address - Zip Code:46962-9100
Mailing Address - Country:US
Mailing Address - Phone:260-982-4715
Mailing Address - Fax:260-982-7950
Practice Address - Street 1:1209 ST RD 13 W
Practice Address - Street 2:
Practice Address - City:N MANCHESTER
Practice Address - State:IN
Practice Address - Zip Code:46962-9100
Practice Address - Country:US
Practice Address - Phone:260-982-4715
Practice Address - Fax:260-982-7950
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN73341223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice