MEDICARE: JOSEPH R. CONARD, DDS, PA

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710159900
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOSEPH R. CONARD, DDS, PA

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

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

Authorized Official
Title or Position	:	OWNER/DENTIST
Name	:	JOSEPH R CONARD
Credential	:	DDS
Telephone Number	:	828-452-1187

Provider Enumeration Date	:	03/27/2008
Last Update Date	:	03/27/2008

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