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Jon Conklin, DDS
NPI 1619048741 · on the registry since 2006 · sole proprietor
Practice
- Address
- 6993 Redansa Dr
Rockford, IL 61108 - Phone
- (815) 397-3661
- Fax
- (815) 397-1233
- Organisation at this address
- Juli Young, Dmd, Pc
Aesthetic Dentistry And Implant Center Of RockfordInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois