Individual
DR. JOHN EDWARD CONKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
112 NORTH MONROE STREET, ROCKFORD, MI 49641-1419
(616) 866-4445
(616) 866-4409
Mailing address
112 NORTH MONROE STREET, ROCKFORD, MI 49641-1419
(616) 866-4445
(616) 866-4409
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9219
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D092190
BCBS
MI
Enumeration date
02/21/2007
Last updated
07/08/2007
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