Organization
CAMERON CONKIN DDS, ORAL AND MAXILLOFACIAL SURGEON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAMERON H CONKIN DDS (ORAL AND MAXILLOFACIAL SURGEON)
(317) 882-2595
Entity
Organization
Contact information
Practice address
8101 SHELBY ST, STE A, INDIANAPOLIS, IN 46227-6224
(317) 882-2595
(317) 882-5745
Mailing address
8101 SHELBY ST, STE A, INDIANAPOLIS, IN 46227-6224
(317) 882-2595
(317) 882-5745
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
12011582A
IN
Other
Enumeration date
12/12/2011
Last updated
12/12/2011
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