MEDICARE: DR. JERRY JAMES CONROY 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	10548	MN

General Provider Information

NPI Number	:	1356396006
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JERRY JAMES CONROY DDS

Provider Business Mailing Address
First Line	:	2900 CHICAGO AVE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55407-1322
Country	:	US
Telephone Number	:	612-823-2080
Fax Number	:

Provider Business Practice Location Address
First Line	:	2900 CHICAGO AVE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55407-1322
Country	:	US
Telephone Number	:	612-823-2080
Fax Number	:

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

Provider Enumeration Date	:	05/23/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1154325017 — DR. DAVID WILLIAM JOHNSON JR. DDS
Practice Location Address:

2900 CHICAGO AVE S
MINNEAPOLIS, MN
55407-1322

Practice Phone: 612-823-2080
Practice Fax: 612-823-5777

1497936389 — CHICAGO LAKE DENTAL
Practice Location Address:

2900 CHICAGO AVE
MINNEAPOLIS, MN
55407-1322

Practice Phone: 612-823-2080
Practice Fax: 612-823-5777

1770095028 — CHICAGO LAKE FAMILY DENTAL LLC
Practice Location Address:

2900 CHICAGO AVE
MINNEAPOLIS, MN
55407-1322

Practice Phone: 612-823-2080
Practice Fax:

1336607233 — SOUTHSIDE TRANSPORTATION LLC
Practice Location Address:

2940 CHICAGO AVE
MINNEAPOLIS, MN
55407-1322

Practice Phone: 507-351-4212
Practice Fax:

1871156166 — DANIELLE MARIE RODGERS RDH, DT
Practice Location Address:

2900 CHICAGO AVE
MINNEAPOLIS, MN
55407-1322

Practice Phone: 612-823-2080
Practice Fax:

1760292213 — NATALIE KOHNER
Practice Location Address:

2900 CHICAGO AVE
MINNEAPOLIS, MN
55407-1322

Practice Phone: 612-823-2080
Practice Fax:

Directions to “ DR. JERRY JAMES CONROY DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.