Provider Demographics
NPI:1811908171
Name:CRONIN, PAUL D (DDS)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:D
Last Name:CRONIN
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 1:11 LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:MA
Mailing Address - Zip Code:01749-2115
Mailing Address - Country:US
Mailing Address - Phone:978-562-2042
Mailing Address - Fax:978-562-2268
Practice Address - Street 1:11 LINCOLN ST
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:MA
Practice Address - Zip Code:01749-2115
Practice Address - Country:US
Practice Address - Phone:978-562-2042
Practice Address - Fax:978-562-2268
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA14797122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist