Conklin, Anton
Conklin, Anton is an individual health care provider with primary practice located at 1113 Progress Dr , Medford OR 97504-5201. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Conklin, Anton can be contacted via phone (541) 512-3900.Contact Information
Primary practice address
1113 Progress Dr
Medford OR 97504-5201
Phone: (541) 512-3900
Fax: (541) 512-1026
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Dental Providers / Dentist | 122300000X | D9787 | Oregon |
| Dental Providers / General Practice | 1223G0001X | 31423 | Texas |
Profile Details
| NPI number | 1194090175 |
|---|---|
| LBN Legal business name | Conklin, Anton |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2012 |
| Last updated | May 11th, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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