MEDICARE: DR. JOSEPH R CONARD DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	4890	NC

General Provider Information

NPI Number	:	1063418812
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH R CONARD DDS

Provider Business Mailing Address
First Line	:	20 BROADVIEW ROAD
Second Line	:
City	:	WAYNESVILLE
State	:	NC
Zip	:	28786-3515
Country	:	US
Telephone Number	:	828-452-1187
Fax Number	:	825-452-5388

Provider Business Practice Location Address
First Line	:	20 BROADVIEW ROAD
Second Line	:
City	:	WAYNESVILLE
State	:	NC
Zip	:	28786-3515
Country	:	US
Telephone Number	:	828-452-1187
Fax Number	:	825-452-5388

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2005
Last Update Date	:	07/08/2007

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