Elizabeth June Conley, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS7627 Issued in TN

Practice address

1503 S Main St
Crossville, TN 38555-5967

Phone

(931) 484-6196

Fax

(931) 456-1047

NPI assigned

Sep 27, 2005

Last updated

May 6, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• State of Tennessee

  dba Robertson County Health Department

  • Public Health or Welfare Agency
  • Springfield, TN
  • NPI 1316090145
  NPD (past)
• State of Tennessee

  dba Cumberland County Health Department

  • Federally Qualified Health Center (FQHC)
  • Crossville, TN
  • NPI 1487705414
  NPD (past)

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1578559282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 ENGLAND DR",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385010924",
            "telephone_number": "931-520-4466",
            "fax_number": "931-520-3871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 S MAIN ST",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385555967",
            "telephone_number": "931-484-6196",
            "fax_number": "931-456-1047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONLEY",
        "first_name": "ELIZABETH",
        "middle_name": "JUNE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-27",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS7627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Comfort Care Pain Management, Inc
• Comfort Keepers
• Compassion Care (home-health care)
• Bethany Conatser
• Chad Alan Conatser, M.D.
• Timothy Conner
• Cookeville Eye Specialists, PLLC
• Cookeville Eye Specialists, PLLC
• Lisa Marie Coontz
• Carissa Beth Cooper, FNP

• General Practice Dentistry in Crossville, TN
• Providers in Crossville, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.