Healthcare Provider Details
I. General information
NPI: 1578470001
Provider Name (Legal Business Name): KATHRYN L. CONARD, DDS, MS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
418 JONES COVE RD
CLYDE NC
28721-9458
US
IV. Provider business mailing address
418 JONES COVE RD
CLYDE NC
28721-9458
US
V. Phone/Fax
- Phone: 828-627-9285
- Fax: 828-627-2964
- Phone: 828-627-9285
- Fax: 828-627-2964
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 122300000X |
| Taxonomy | Dentist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
KATHRYN
LEIGH
CONARD
Title or Position: DENTIST/OWNER
Credential: DDS, MS
Phone: 828-627-9285