Individual
MR. THOMAS LYNN CONKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3200 MACCORKLE AVENUE SE, DENTAL CENTER, CHARLESTON, WV 25304
(304) 388-9335
(304) 388-8882
Mailing address
415 MORRIS STREET, SUITE 304, INTEGRATED HEALTH CARE PROVIDERS, INC., CHARLESTON, WV 25301
(304) 388-7782
(304) 388-7788
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3233
WV
122300000X
Dentist
WV 3233
WV
1223G0001X
General Practice Dentistry
3233
WV
Other
Enumeration date
08/31/2006
Last updated
07/16/2010
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