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NPI 1114231123

IndividualActive

Albert Conlisk, DDS, MD

NPI 1114231123 · Oral and Maxillofacial Surgery (Dentist) · Newark, OH

Provider details

NPI number: 1114231123
Entity type: Individual
Primary specialty: Oral and Maxillofacial Surgery (Dentist)Dental Providers
Credential: DDS, MD
Sex: Male
Sole proprietor: Yes
License: 2901020233 (MI)

Practice location

1976 Granville Rd

Newark, OH 43055-9799

Phone: (740) 231-2121

Fax: (740) 231-5255

More OH providers

Mailing address

1976 Granville Rd

Newark, OH 43055-9799

Registry dates

Enumerated: 2010-08-02
Last updated: 2018-03-17

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Albert Conlisk, DDS, MD — NPI 1114231123, Newark, OH | NPI Central