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NPI Code Detail

MEDICARE: DR. ELIZABETH JUNE CONLEY DMD

MEDICARE: DR. ELIZABETH JUNE 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
11223G0001XGeneral Practice DentistryDS7627TN

General Provider Information

NPI Number : 1578559282
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELIZABETH JUNE CONLEY DMD
Provider Business Mailing Address
First Line : 1100 ENGLAND DR
Second Line :
City : COOKEVILLE
State : TN
Zip : 38501-0924
Country : US
Telephone Number : 931-520-4466
Fax Number : 931-520-3871
Provider Business Practice Location Address
First Line : 1503 S MAIN ST
Second Line :
City : CROSSVILLE
State : TN
Zip : 38555-5967
Country : US
Telephone Number : 931-484-6196
Fax Number : 931-456-1047
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2005
Last Update Date : 05/06/2021

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