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Dr. Jon W. Conrad, DO
General Practice Dentistry in Coffeyville, Kansas
NPI 1336111343

Jon W. Conrad is a General Practice Dentistry based in Coffeyville, KS and is specialized in General Practice. Jon W. Conrad practices in Coffeyville, KS and has the professional credentials of DO. The NPI Number for Jon W. Conrad is 1336111343 and holds a License No. 5417 (Kansas).

The current practice location address for Jon W. Conrad is 808 Willow St, Coffeyville, KS and can be reached out via phone at 620-251-3920 and via fax at 620-251-3923.

Location: 808 Willow St, Coffeyville, KS, 67337-5851
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336111343
Provider Name
Jon W. Conrad
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
808 Willow St, Coffeyville, KS, 67337-5851
Phone Number
620-251-3920
Fax Number
620-251-3923
Provider Enumeration Date
02/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
08906 01 KS BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
808 Willow St
City
Coffeyville
State
Kansas
Zip
67337-5851
Phone Number
620-251-3920
Fax Number
620-251-3923
person
Provider Business Mailing Address Details
Address
808 Willow St
City
Coffeyville
State
Kansas
Zip
67337-5851
Phone Number
620-251-3920
Fax Number
620-251-3923
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
5417 (Kansas)
Definition
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.
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