Derek Conklin, D.M.D.
Dentist · Sandy, OR
Practice location
17471 Shelley Ave Ste aSandy, OR 97055-8084
- Phone
- (503) 668-4655
- Fax
- (503) 668-8755
NPI record
- NPI
- 1396868048
- Entity type
- Individual (Type 1)
- Enumeration date
- April 9, 2007
- Last updated
- February 28, 2012
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
D8325 | OR |
Mailing address
17471 Shelley AveSandy, OR 97055-8084
- Phone
- (503) 668-4655
- Fax
- (503) 668-8755
About Dr. Conklin
Derek Conklin, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 17471 Shelley Ave Ste a, Sandy, OR 97055-8084. The NPI number 1396868048 was assigned on April 9, 2007 and the record was last updated on February 28, 2012.
Dr. Conklin lists a license in the registry: #D8325 (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 Derek Conklin, D.M.D.?
The NPI number is 1396868048.
What is the phone number of Dr. Conklin?
The phone number listed for the practice location is (503) 668-4655.
Where is Dr. Conklin located?
17471 Shelley Ave Ste a, Sandy, OR 97055-8084.
What is the taxonomy code for Dr. Conklin?
The primary taxonomy code is 122300000X – Dentist.
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.
Other Dentist providers in Sandy
- Chinook Falls Dental Clinic, PC36840 Industrial Way
- Derek W. Conklin DMD PC17471 Shelley Ave Ste a
- Nicole Apollon Chirouze, DMD17471 Shelley Ave