Conner Christian Diminick, DMD
Individual provider Active NPI General Practice Dentistry · Mount Joy, PA
NPI 1164049896 · NPPES record last updated Jun 29, 2020
Key facts
- NPI
- 1164049896
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DS042745 (PA)
- Practice address
- 1013 W Main St Ste 6
Mount Joy, PA 17552-9699 - Phone
- (717) 653-8177
- NPI assigned
- Jun 29, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS042745 | PA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JTH Dental Inc. | General Practice | Current |
Accepting new patients |
| Hugh Wenger DDS Associates | General Practice | Past |
Accepting new patients |
Locations
1013 W Main St
Ste 6
Mount Joy, PA 17552
Phone (717) 653-8177
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS042745 | PA | Yes |
Addresses
Primary practice location
1013 W Main St Ste 6
Mount Joy, PA 17552-9699
Mailing address
755 Summit Dr Apt 224
Lancaster, PA 17601-1163
Phone (717) 405-1590
Other providers in Mount Joy, PA
- Anne Regina Cotter
- Nancy Cotton
- Eldra W Daniels
- Darrenkamps Mt Joy Market Inc
- Dezire Diaz
- Jessica Dixon
- Todd Jeffery Doerrman
- Bruce H Dohner
- Adam Domovich
- Donegal School District
All providers in Mount Joy, PA · General Practice Dentistry in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.