Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ALBERT TERRENCE CONLISK III, DDS, MD
Active Sole ProprietorDR. ALBERT TERRENCE CONLISK III, DDS, MD is a Oral & Maxillofacial Surgery healthcare provider located in NEWARK, Ohio. NPI 1114231123 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · NEWARK, OH
Registration Details
- NPI Number
- 1114231123
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 2, 2010 (15.990783244047 yrs)
- Last Updated
- Mar 17, 2018
- Licenses
-
2901020233 (MI)30.24776 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1976 GRANVILLE RDNEWARK, OH, 430559799Browse OH providers · Browse ZIP 43055
- Phone
- 7402312121
- Fax
- 7402315255
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
- Additional Specialty
- Oral & Maxillofacial Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.