Conley, Dante Maria

Conley, Dante Maria is an individual health care provider with primary practice located at 1001 Noble St , Fairbanks AK 99701-4922. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Conley, Dante Maria can be contacted via phone (907) 459-3500.

Contact Information

Primary practice address
1001 Noble St Fairbanks AK 99701-4922
Fax: (907) 458-2699
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD60024758 Washington
Allopathic & Osteopathic Physicians / Surgery 208600000X 7729 Alaska

Profile Details

NPI number 1649389503
LBN Legal business name Conley, Dante Maria
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Sep 22nd, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649389503 NPPES
Alaska MEDICAID 1584104

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