# MICHAEL A. CONRAD, DDS, PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** The Dentist Down the Lane
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437417524
- **Authorized official:** MICHAEL ALAN CONRAD DDS (PRESIDENT)
- **Authorized official phone:** (610) 398-1435

## Contact information

- **Practice address:** 770 FETTERS LN, WESCOSVILLE, PA 18106-9290
- **Practice address phone:** (610) 398-1435
- **Practice address fax:** (610) 398-6278
- **Mailing address:** PO BOX 3243, WESCOSVILLE, PA 18106-0243
- **Mailing address phone:** (610) 398-1435
- **Mailing address fax:** (610) 398-6278

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DS023025L | PA | Yes |

## Other

- **Enumeration date:** 04/26/2012
- **Last updated:** 04/26/2012