ANTON CONKLIN D.M.D. NPI 1194090175

NPI Information

NPI: 1194090175
Provider Name: ANTON CONKLIN, D.M.D.
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
1113 PROGRESS DR
MEDFORD, OR
ZIP 97504
Phone: (541) 512-3900
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Anton Conklin, D.M.D. is a general practice dentist in Medford, OR. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Anton Conklin, D.M.D. NPI is 1194090175. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1113 PROGRESS DR
MEDFORD, OR
ZIP 97504-201
Phone: (541) 512-3900
Fax: (541) 512-1026

The enumeration date for this NPI number is 3/9/2012 and was last updated on 5/11/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122300000X	Dentist		D9787	OREGON	No
2	1223G0001X	Dentist	General Practice	31423	TEXAS	Yes
3	390200000X	Student in an Organized Health Care Education/Training Program				No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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