# DR. MATTHEW JOHN CONQUEST

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1184696874
- **Gender:** Man
- **Credential:** DMD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS036534 | PA | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DS036534 | PA | Yes |
| 207L00000X | Anesthesiology Physician | DA031677 | PA | — |

## Other

- **Enumeration date:** 02/06/2006
- **Last updated:** 06/29/2016