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NPI 1366410839

IndividualActive

Charles Conklin, DDS

NPI 1366410839 · Oral and Maxillofacial Surgery (Dentist) · Roanoke, VA

Provider details

NPI number: 1366410839
Entity type: Individual
Primary specialty: Oral and Maxillofacial Surgery (Dentist)Dental Providers
Credential: DDS
Sex: Male
Sole proprietor: No
License: 0401-004990 (VA)

Practice location

2017 Jefferson St Sw

Carilion Dental Clinic

Roanoke, VA 24014-2419

Phone: (540) 981-7128

More VA providers

Mailing address

4569 Keagy Rd

Roanoke, VA 24018-7417

Registry dates

Enumerated: 2006-03-10
Last updated: 2008-04-30

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

Charles Conklin, DDS — NPI 1366410839, Roanoke, VA | NPI Central