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Contact Information

CONRAD B JENKINS, DDS
1138 ROSE HILL DR
CHARLOTTESVILLE, VA22903-5128
 Phone: 434-972-6233
 Fax: 434-972-4310
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Public Health

1223D0001X
Indicates primary specialty

NPI Profile & details for CONRAD B JENKINS · (Male)

NPI Number 1740290394
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 08/08/2006
Last updated 11/17/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0401005559
  • VA Other 0013970 DORAL DENTAL
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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