DR. JOHN PATRICK CONRY BDS MS NPI 1205958931

NPI Information

  • NPI: 1205958931
  • Provider Name: DR. JOHN PATRICK CONRY, BDS MS
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4419 AIR BASE ROAD
    HERMANTOWN, MN
    ZIP 55811
  • Phone: (218) 728-2117

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NPI Details

DR. John Patrick Conry, BDS MS is a pediatric dentistry dentist in Hermantown, MN. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. John Patrick Conry, BDS MS NPI is 1205958931. 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:

4419 AIR BASE ROAD
HERMANTOWN, MN
ZIP 55811
Phone: (218) 728-2117
Fax: (218) 728-2700

The NPI 1205958931 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 4/4/2007 and was last updated on 3/12/2015.

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
11223P0221XDentistPediatric DentistryD10837MINNESOTANo
21223P0221XDentistPediatric Dentistry10834MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1447014100OTHERMINNESOTAMN CARE

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: 3/30/2025

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