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NPI Code Detail

MEDICARE: RICHARD SCOTT CONLEY DMD

MEDICARE: RICHARD SCOTT CONLEY DMD
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
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry12013836AIN

General Provider Information

NPI Number : 1336263540
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD SCOTT CONLEY DMD
Provider Business Mailing Address
First Line : 1121 W MICHIGAN ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46202-5211
Country : US
Telephone Number : 317-274-7433
Fax Number : 317-278-1438
Provider Business Practice Location Address
First Line : 1121 W MICHIGAN ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46202-5211
Country : US
Telephone Number : 317-274-7433
Fax Number : 317-278-1438
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2007
Last Update Date : 06/16/2026

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