# CONNER DENTISTRY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Family Dentistry of Wabash
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629354428
- **Authorized official:** DR. JOHN D CONNER D.D.S. (MANAGING MEMBER/PRESIDENT)
- **Authorized official phone:** (260) 563-4805

## Contact information

- **Practice address:** 1146 N CASS ST, SUITE C, WABASH, IN 46992-1081
- **Practice address phone:** (260) 563-4805
- **Practice address fax:** (260) 563-2958
- **Mailing address:** 1146 N CASS ST, SUITE C, WABASH, IN 46992-1081
- **Mailing address phone:** (260) 563-4805
- **Mailing address fax:** (260) 563-2958

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12011312 | IN | Yes |

## Other

- **Enumeration date:** 10/25/2011
- **Last updated:** 10/25/2011