Individual
DR. MICHAEL HOWARD CONLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2413 GRANT AVE, ST ALBANS, WV 25177
(304) 722-2211
(304) 722-5464
Mailing address
1306 W. CORBETT AVE., SWANSBORO, NC 28584
(910) 326-2030
(910) 326-3192
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9348
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116967456
DUNS
—
05
—
5916018
—
NC
01
—
89879627
CCR TPIN
—
Enumeration date
07/12/2006
Last updated
12/21/2018
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