John Francis Conaghan, D.D.S.
Individual provider Active NPI Dentist · Bethesda, MD
NPI 1972638849 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1972638849
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 9750 (MD)
- Practice address
- 8218 Wisconsin Ave
#317
Bethesda, MD 20814-3107 - Phone
- (301) 654-1777
- Fax
- (301) 654-1777
- NPI assigned
- Feb 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| 9750 | MD | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John F. Conaghan, D.D.S. | Dentist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 9750 | MD | Yes |
Addresses
Primary practice location
8218 Wisconsin Ave
#317
Bethesda, MD 20814-3107
Mailing address
8218 Wisconsin Ave
#317
Bethesda, MD 20814-3107
Phone (301) 320-2092
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9750 | Other | MD | DENTAL LICENSE # |
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.