# CONKLIN & DOERSCH DDS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TLC Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952410565
- **Authorized official:** JANNA GREEN (OFFICE MANAGER)
- **Authorized official phone:** (304) 436-6007

## Contact information

- **Practice address:** 8 WYOMING ST, STE 301, WELCH, WV 24801-2429
- **Practice address phone:** (304) 436-6007
- **Practice address fax:** (304) 436-6009
- **Mailing address:** 8 WYOMING ST, SUITE 301, WELCH, WV 24801-2429
- **Mailing address phone:** (304) 436-6007
- **Mailing address fax:** (304) 436-6009

## Taxonomy

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

## Other

- **Enumeration date:** 08/29/2006
- **Last updated:** 09/20/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3810003513 | — | WV |
