Individual
DR. JOHN PATRICK CONRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BDS MS
Contact information
Practice address
4419 AIR BASE ROAD, HERMANTOWN, MN 55811
(218) 728-2117
(218) 728-2700
Mailing address
4419 AIR BASE ROAD, HERMANTOWN, MN 55811
(218) 728-2117
(218) 728-2700
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
10834
MN
1223P0221X
Pediatric Dentistry
D10837
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
447014100
MN CARE
MN
Enumeration date
04/04/2007
Last updated
03/12/2015
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