Jenkins, Conrad B
Jenkins, Conrad B is an individual health care provider with primary practice located at 1138 Rose Hill Dr , Charlottesville VA 22903-5128. He recently has only one registered license in Dental Providers / Dental Public Health, which is considered as his primary health care specialty. Jenkins, Conrad B can be contacted via phone (434) 972-6233.Contact Information
Primary practice address
1138 Rose Hill Dr
Charlottesville VA 22903-5128
Phone: (434) 972-6233
Fax: (434) 972-4310
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Public Health | 1223D0001X | 0401005559 | Virginia |
Profile Details
| NPI number | 1740290394 |
|---|---|
| LBN Legal business name | Jenkins, Conrad B |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 8th, 2006 |
| Last updated | Nov 17th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740290394 | NPPES |
| Virginia | Other | 0013970 | DORAL DENTAL |
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