Healthcare Provider Details

I. General information

NPI: 1285507889
Provider Name (Legal Business Name): CONOR KEMP DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2025
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 5TH ST
SAN FRANCISCO CA
94103-2919
US

IV. Provider business mailing address

155 FIFTH ST. CUBICLE E16
SAN FRANCISCO CA
94103-2919
US

V. Phone/Fax

Practice location:
  • Phone: 415-929-6400
  • Fax:
Mailing address:
  • Phone: 415-929-6400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0008X
TaxonomyOral and Maxillofacial Radiology Dentistry
License NumberDDS112251
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: