Individual provider · Type 1 NPI
Albert Terrence Conlisk Iii, DDS, MD
Oral and Maxillofacial Surgery (Dentist) · Newark, OH
NPI number
1114231123
Active
Practice location
1976 Granville Rd
Newark, OH 43055-9799
Fax (740) 231-5255
Other practice locations
- 1575 Cross Creeks Blvd, Pickerington, OH 43147-8237 · (614) 751-7500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 2901020233 (MI) |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 30.24776 (OH) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
About NPI 1114231123
Albert Terrence Conlisk Iii, DDS, MD's National Provider Identifier is 1114231123, issued on Aug 2, 2010. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Newark, OH. The record was last updated on Mar 17, 2018.