Anton Conklin, D.M.D.

NPI #1194090175 in Medford, Oregon

Provider Information

NPI Number: 1194090175
Entity Type: Individual
Name: Anton Conklin, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Mar 9, 2012
Last Updated: May 11, 2017

Practice Location

Address: 1113 PROGRESS DR
City: Medford
State: Oregon
ZIP Code: 97504-5201
Phone: (541) 512-3900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Dentist	122300000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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