Conklin & Ward Dental Group, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CONKLIN & WARD DENTAL GROUP, PA

Practice address

1104 Kenilworth Dr Ste 102
Baltimore, MD 21204-3104

Phone

(410) 583-7010

Fax

(410) 583-2272

NPI assigned

Jul 2, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sophia John

Title

Business Manager

Phone

(410) 921-9504

Specialties & licenses 1

Addresses

Other names 1

• Ward, Byrne and Conklin Dental Group Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435795200000",
    "number": "1366825762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 KENILWORTH DR STE 102",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212043104",
            "telephone_number": "410-583-7010",
            "fax_number": "410-583-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 KENILWORTH DR STE 102",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212043104",
            "telephone_number": "410-583-7010",
            "fax_number": "410-583-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONKLIN & WARD DENTAL GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-02",
        "last_updated": "2015-07-02",
        "status": "A",
        "authorized_official_last_name": "JOHN",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "410-921-9504"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ward, Byrne and Conklin Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nathan Congdon, M.D.
• Congruent Counseling Services, LLC
• Congruent Counseling Services, LLC
• Katie Fogarty Coningsby, DPT
• Bailey Allison Conkey
• Steven E Conklin Lopez, PHD
• Dawn Christine Conklin, P.A.-C.
• Mindy Adele Conklin, RRT
• Richard P. Conley Jr., CRNA
• Robert Russell Conley, M.D.

• General Practice Dentistry in Baltimore, MD
• Providers in Baltimore, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.