Individual
DR. CONRAD B JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1138 ROSE HILL DR, CHARLOTTESVILLE, VA 22903-5128
(434) 972-6233
(434) 972-4310
Mailing address
PO BOX 7546, CHARLOTTESVILLE, VA 22906-7546
(434) 972-6233
(434) 972-4310
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
0401005559
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0013970
DORAL DENTAL
VA
Enumeration date
08/08/2006
Last updated
11/17/2008
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