Individual provider · Type 1 NPI

Jerry Lee Kronquist, D.D.S

Oral and Maxillofacial Surgery (Dentist) · Santa Ana, CA

NPI number 1114132636 Active

Practice location

1906 N . Broadway
Santa Ana, CA 92706-2610

Call (714) 547-6671 Map

Fax (714) 547-4385

Mailing address

1906 N Broadway
Santa Ana, CA 92706-2610

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001X30388 (CA)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X30388 (CA)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1114132636

Jerry Lee Kronquist, D.D.S's National Provider Identifier is 1114132636, issued on May 10, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Santa Ana, CA. The record was last updated on Aug 11, 2022.