# C & K DENTAL

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

## Provider details

- **NPI number:** 1689919193
- **Authorized official:** DR. KEVIN CONKLIN DMD (PRESIDENT)
- **Authorized official phone:** (814) 574-6324

## Contact information

- **Practice address:** 236 PENNSYLVANIA AVE, MILL HALL, PA 17751-1829
- **Practice address phone:** (570) 726-4988
- **Practice address fax:** (570) 726-4971
- **Mailing address:** 236 PENNSYLVANIA AVE, MILL HALL, PA 17751-1829
- **Mailing address phone:** (570) 726-4988
- **Mailing address fax:** (570) 726-4971

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS037933 | PA | — |
| 1223G0001X | General Practice Dentistry | DS037955 | PA | Yes |

## Other

- **Enumeration date:** 12/10/2012
- **Last updated:** 12/10/2012