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Dr. Charles E Conklin JR., DDS
Oral and Maxillofacial Surgery (Dentist) in Roanoke, Virginia
NPI 1366410839

Charles E Conklin JR. is a Oral and Maxillofacial Surgery (Dentist) based in Roanoke, VA and is specialized in Oral and Maxillofacial Surgery. Charles E Conklin JR. practices in Roanoke, VA and has the professional credentials of DDS. The NPI Number for Charles E Conklin JR. is 1366410839 and holds a License No. 0401-004990 (Virginia).

The current practice location address for Charles E Conklin JR. is 2017 Jefferson St Sw, Roanoke, VA and can be reached out via phone at 540-981-7128.

Location: 2017 Jefferson St Sw, Roanoke, VA, 24018-7417
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366410839
Provider Name
Charles E Conklin JR.
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2017 Jefferson St Sw, Roanoke, VA, 24018-7417
Phone Number
540-981-7128
Fax Number
Provider Enumeration Date
03/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7816146 05 VA
7805225 05 VA
institution
Provider Business Practice Location Address Details
Address
2017 Jefferson St Sw
City
Roanoke
State
Virginia
Zip
24014-2419
Phone Number
540-981-7128
Fax Number
person
Provider Business Mailing Address Details
Address
2017 Jefferson St Sw
City
Roanoke
State
Virginia
Zip
24014-2419
Phone Number
540-981-7128
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
0401-004990 (Virginia)
Definition
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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