Individual
DR. ALBERT TERRENCE CONLISK III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
1976 GRANVILLE RD, NEWARK, OH 43055-9799
(740) 231-2121
(740) 231-5255
Mailing address
1976 GRANVILLE RD, NEWARK, OH 43055-9799
(740) 231-2121
(740) 231-5255
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
2901020233
MI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
30.24776
OH
Other
Enumeration date
08/02/2010
Last updated
03/17/2018
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