DR. Derek Conklin, D.M.D.

NPI #1396868048 in Sandy, Oregon

Provider Information

NPI Number: 1396868048
Entity Type: Individual
Name: DR. Derek Conklin, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: Apr 9, 2007
Last Updated: Feb 28, 2012

Practice Location

Address: 17471 SHELLEY AVE STE A
City: Sandy
State: Oregon
ZIP Code: 97055-8084
Phone: (503) 668-4655

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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Organizations

Provider Name	Specialty	City
Chinook Falls Dental Clinic, PC	Dentist	Sandy	AI Deep Dive
Derek W. Conklin Dmd PC	Dentist	Sandy	AI Deep Dive

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