Dr. Conrad B Jenkins
Dental Public Health
1138 Rose Hill Dr
Charlottesville
, Virginia 22903-5128
Dr. Conrad B Jenkins
Dental Public Health
1138 Rose Hill Dr
Charlottesville
, Virginia 22903-5128
(434) 972-4310
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About
Features
Specialties
- Dental Public Health
Languages spoken
- English
Location
First Address
- Dr. Conrad B Jenkins
- Po Box 7546
- Charlottesville, VA
- Zip : 22906-7546
- Fax : (434) 972-4310
- Phone : (434) 972-6233
Second Address
- Dr. Conrad B Jenkins
- 1138 Rose Hill Dr
- Charlottesville, VA
- Zip : 22903-5128
- Fax : (434) 972-4310
- Phone : (434) 972-6233
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223D0001X | Dental Public Health | 0401005559 | VA |
National Provider Identifier
| NPI | 1740290394 |
|---|---|
| Provider Name | Dr. Conrad B Jenkins |
| First Address | Charlottesville, VA 22906-7546 |
| Second Address | Charlottesville, VA 22903-5128 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/08/2006 |
| Last Update Date | 17/11/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0013970 | DORAL DENTAL (01) | VA |
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.