Provider Demographics
NPI:1487786893
Name:CONOVER, DAVID J (DDS)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:J
Last Name:CONOVER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8005 PLAINFIELD RD
Mailing Address - Street 2:SUITE #31
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-2511
Mailing Address - Country:US
Mailing Address - Phone:513-791-8937
Mailing Address - Fax:513-791-2553
Practice Address - Street 1:8005 PLAINFIELD RD
Practice Address - Street 2:SUITE #31
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-2511
Practice Address - Country:US
Practice Address - Phone:513-791-8937
Practice Address - Fax:513-791-2553
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH164071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice