Anton Conklin, D.M.D.

General Practice Dentistry · Medford, OR

Individual Active NPI

NPI number 1194090175

Practice location

1113 Progress Dr
Medford, OR 97504-5201
Phone
(541) 512-3900
Fax
(541) 512-1026

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NPI record

NPI
1194090175
Entity type
Individual (Type 1)
Enumeration date
March 9, 2012
Last updated
May 11, 2017
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 31423 TX
Student in an Organized Health Care Education/Training Program 390200000X — —
Dentist 122300000X D9787 OR

Mailing address

5201 Walzem Rd
Windcrest, TX 78218-2122
Phone
(210) 503-0000
Fax
(281) 533-6130

About Dr. Conklin

Anton Conklin, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1113 Progress Dr, Medford, OR 97504-5201. The NPI number 1194090175 was assigned on March 9, 2012 and the record was last updated on May 11, 2017.

Dr. Conklin lists 2 licenses in the registry: #31423 (TX) for General Practice Dentistry; #D9787 (OR) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Anton Conklin, D.M.D.?

The NPI number is 1194090175.

What is the phone number of Dr. Conklin?

The phone number listed for the practice location is (541) 512-3900.

Where is Dr. Conklin located?

1113 Progress Dr, Medford, OR 97504-5201.

What is the taxonomy code for Dr. Conklin?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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