NPI 1003296955

J Matthew Cronkhite DDS PC

Organisation Dentist Lafayette, IN

Practice location

Address: 3667 Braddock Dr STE B, Lafayette, IN 47909-7302
Phone: (765) 471-6025

Authorised official

Name: Marti Stichter
Title: Office Manager
Phone: (765) 471-6025

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 12010734A (IN)

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Registry record

NPI: 1003296955
Entity type: Organization
NPI issued: 5 Jun 2015
Record last updated: 5 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.