# CONKLIN & DOERSCH DDS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bluefield Dental Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972612588
- **Authorized official:** DREMA SOUTHERN (OFFICE MANAGER)
- **Authorized official phone:** (304) 324-8703

## Contact information

- **Practice address:** 1607 MARYLAND AVE, BLUEFIELD, WV 24701
- **Practice address phone:** (304) 324-8703
- **Practice address fax:** (304) 324-8735
- **Mailing address:** 1607 MARYLAND AVE, BLUEFIELD, WV 24701
- **Mailing address phone:** (304) 324-8703
- **Mailing address fax:** (304) 324-8735

## 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 | — | 3810002955 | — | WV |