Organization
CONOVER DENTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEREK JOHN CONOVER DMD (OWNER)
(908) 461-1355
Entity
Organization
Contact information
Practice address
1601 WALNUT ST STE 1101, PHILADELPHIA, PA 19102-2907
(215) 567-0521
Mailing address
1601 WALNUT ST STE 1101, PHILADELPHIA, PA 19102-2907
(215) 772-3100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
06/19/2025
Last updated
06/19/2025
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