# THOMAS E CONDRON DDS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457415135
- **Authorized official:** DR. THOMAS E CONDRON IX D.D.S (DENTIST)
- **Authorized official phone:** (304) 623-4984

## Contact information

- **Practice address:** 234 COURT ST, CLARKSBURG, WV 26301-2906
- **Practice address phone:** (304) 623-4984
- **Practice address fax:** (304) 623-2830
- **Mailing address:** 234 COURT ST, CLARKSBURG, WV 26301-2906
- **Mailing address phone:** (304) 623-4984
- **Mailing address fax:** (304) 623-2830

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | WV1963 | WV | Yes |

## Other

- **Enumeration date:** 12/20/2006
- **Last updated:** 03/14/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0134914000 | — | WV |
| 05 | — | 0137302000 | — | WV |
| 05 | — | 03810005032 | — | WV |