Individual provider · Type 1 NPI

Kelton Cronquist, DMD, MS

Orthodontics and Dentofacial Orthopedics Dentistry · Meridian, ID

NPI number 1417701400 Active

Practice location

1200 W Cherry Ln
Meridian, ID 83642-4930

Call (208) 898-0000 Map

Mailing address

840 N Tullshire Way
Eagle, ID 83616-3305

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XD-5605 (ID)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1417701400

Kelton Cronquist, DMD, MS's National Provider Identifier is 1417701400, issued on Apr 16, 2024. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Meridian, ID. The record was last updated on Apr 16, 2024.