Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Anton Conklin, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1194090175

Anton Conklin, DMD is a Student in an Organized Health Care Education/Training Program in Medford, Oregon. Licensed in Oregon and Texas. Registered with an NPI since 2012.

Licensed in
OR, TX
In the registry since
2012
Specialties on file
3
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1113 Progress Dr
Medford, OR 97504-5201
Phone: (541) 512-3900
Fax: (541) 512-1026
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 31423 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Dentist Taxonomy 122300000X · Licence D9787 (OR)

Record details

NPI number1194090175
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedMarch 9, 2012
Last updated in NPPESMay 11, 2017
Mailing address5201 Walzem Rd, Windcrest, TX 78218-2122

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