Individual
DR. CAMERON HUSTON CONKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8101 SHELBY ST, INDIANAPOLIS, IN 46227-6224
(317) 882-2595
(317) 882-5745
Mailing address
8101 SHELBY ST, INDIANAPOLIS, IN 46227-6224
(317) 882-2595
(317) 882-5745
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12011582A
IN
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DS0000007769
TN
Other
Enumeration date
08/27/2006
Last updated
05/23/2014
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