| Leon Conkling D.d.s Inc | |
|
3701 N Kickapoo Ave Shawnee OK 74804-1703 | |
| (405) 275-1876 | |
| (405) 275-1143 |
| Full Name | Leon Conkling D.d.s Inc |
|---|---|
| Speciality | Dentist |
| Location | 3701 N Kickapoo Ave, Shawnee, Oklahoma |
| Authorized Official Name and Position | Leon A Conkling (DENTIST) |
| Authorized Official Contact | 4052751876 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leon Conkling D.d.s Inc 3701 N Kickapoo Ave Shawnee OK 74804 Ph: (405) 275-1876 | Leon Conkling D.d.s Inc 3701 N Kickapoo Ave Shawnee OK 74804-1703 Ph: (405) 275-1876 |
| NPI Number | 1831595925 |
|---|---|
| Provider Enumeration Date | 11/17/2014 |
| Last Update Date | 11/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831595925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3528 (Oklahoma) | Primary |
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