Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DEREK CONKLIN, D.M.D.
Active Sole ProprietorDR. DEREK CONKLIN, D.M.D. is a Dentist healthcare provider located in SANDY, Oregon. NPI 1396868048 is currently active in the NPPES registry. Verify at CMS.
Dentist · SANDY, OR
Registration Details
- NPI Number
- 1396868048
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 9, 2007 (19.173666083823 yrs)
- Last Updated
- Feb 28, 2012
- License
-
D8325 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
17471 SHELLEY AVE STE ASANDY, OR, 970558084Browse OR providers · Browse ZIP 97055
- Phone
- 5036684655
- Fax
- 5036688755
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in SANDY, OR
| Name | Credential | NPI |
|---|---|---|
| NICOLE APOLLON CHIROUZE | DMD | 1952718561 |
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.