DR. ALBERT TERRENCE CONLISK III DDS, MD
NPI 1114231123
Dentist - Oral and Maxillofacial Surgery in Newark, OH

Active since August 02, 2010PECOS Enrolled
1976 GRANVILLE RD, NEWARK, OH 43055(740) 231-2121(740) 231-5255 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Nov 16, 2017, Mar 29, 2016 (3 updates tracked since 2016).

About Dr. Albert Terrence Conlisk Iii Dds, Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ALBERT TERRENCE CONLISK III DDS, MD (NPI 1114231123) is an individual oral and maxillofacial surgery provider in Newark, Ohio, licensed in Ohio (30.24776) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS and maintains a secondary practice location in Pickerington.

NPPES Registry Identity

NPI1114231123
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. ALBERT TERRENCE CONLISK IIICredential: DDS, MD
Location Address1976 GRANVILLE RDNewark, OH 43055-9799
Mailing Address1976 Granville RdNewark, OH 43055-9799 · (740) 231-2121 · Fax (740) 231-5255
Fax(740) 231-5255
Sole ProprietorYes
Enumeration DateAugust 2, 2010
Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration
NPI 1114231123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses Licensed in OH · 30.24776 Licensed in MI · 2901020233
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1976 GRANVILLE RD, Newark, OH 43055

Secondary Practice Location 1

Location 11575 Cross Creeks BlvdPickerington, OH 43147-8237 · Phone (614) 751-7500 · Fax (614) 322-7900

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Albert Terrence Conlisk Iii Dds, Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43055 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Albert Conlisk's NPI number?

The NPI number for Albert Conlisk is 1114231123. It was assigned to this individual provider in the NPPES registry on August 2, 2010.

Where is Albert Conlisk located?

Albert Conlisk practices at 1976 Granville Rd, Newark, OH 43055. The listed phone number is (740) 231-2121.

What is Albert Conlisk's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Albert Conlisk enrolled in Medicare?

Yes. Albert Conlisk is registered in the Medicare PECOS enrollment system.

What insurance does Albert Conlisk accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, BEST Life and Blue Cross and Blue Shield of Montana and 16 other insurers list Albert Conlisk as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Albert Conlisk was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.