Individual
DR. FRANK DONALD CONKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9045 US HIGHWAY 31, BERRIEN SPRINGS, MI 49103-1633
(269) 471-5244
(269) 471-9232
Mailing address
9045 US HIGHWAY 31, PO BOX 267, BERRIEN SPRINGS, MI 49103-1633
(269) 471-5244
(269) 471-9232
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901012050
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4049387
—
MI
01
—
657775
UNITED CONCORDIA
PA
01
—
J120500
BLUE CROSS BLUE SHIELD
MI
Enumeration date
01/09/2007
Last updated
07/09/2007
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