# LEON CONKLING D.D.S INC

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

## Provider details

- **NPI number:** 1831595925
- **Authorized official:** LEON A CONKLING (DENTIST)
- **Authorized official phone:** (405) 275-1876

## Contact information

- **Practice address:** 3701 N KICKAPOO AVE, SHAWNEE, OK 74804-1703
- **Practice address phone:** (405) 275-1876
- **Practice address fax:** (405) 275-1143
- **Mailing address:** 3701 N KICKAPOO AVE, SHAWNEE, OK 74804
- **Mailing address phone:** (405) 275-1876
- **Mailing address fax:** (405) 275-1143

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 3528 | OK | Yes |

## Other

- **Enumeration date:** 11/17/2014
- **Last updated:** 11/17/2014