Provider Demographics
NPI:1265905830
Name:DAVID KRONER DDS PC
Entity type:Organization
Organization Name:DAVID KRONER DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:KRONER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:929-318-0100
Mailing Address - Street 1:10524 67TH AVE APT 5B
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-2181
Mailing Address - Country:US
Mailing Address - Phone:929-318-0100
Mailing Address - Fax:
Practice Address - Street 1:560 NORTHERN BLVD STE 205
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-5113
Practice Address - Country:US
Practice Address - Phone:516-515-7310
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-07
Last Update Date:2019-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental