Dr. Albert Terrence Conlisk III
Oral and Maxillofacial Surgeon
1976 Granville Rd
Newark
, Ohio 43055-9799
Dr. Albert Terrence Conlisk III
Oral and Maxillofacial Surgeon
1976 Granville Rd
Newark
, Ohio 43055-9799
(740) 231-5255
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Albert Terrence Conlisk III
- 1976 Granville Rd
- Newark, OH
- Zip : 43055-9799
- Fax : (740) 231-5255
- Phone : (740) 231-2121
Second Address
- Dr. Albert Terrence Conlisk III
- 1976 Granville Rd
- Newark, OH
- Zip : 43055-9799
- Fax : (740) 231-5255
- Phone : (740) 231-2121
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223S0112X | Oral and Maxillofacial Surgeon | 2901020233 | MI |
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 30.24776 | OH |
National Provider Identifier
| NPI | 1114231123 |
|---|---|
| Provider Name | Dr. Albert Terrence Conlisk III |
| First Address | Newark, OH 43055-9799 |
| Second Address | Newark, OH 43055-9799 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/08/2010 |
| Last Update Date | 17/03/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.