DR. CHARLES E CONKLIN JR. DDS
NPI 1366410839
Dentist - Oral and Maxillofacial Surgery in Roanoke, VA

Q: What is Charles Conklin's NPI number?

The NPI number for Charles Conklin is 1366410839. It was assigned to this individual provider in the NPPES registry on March 10, 2006.

Q: What is Charles Conklin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Charles Conklin was last updated on April 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since March 10, 2006PECOS Enrolled

2017 JEFFERSON ST SW, CARILION DENTAL CLINIC, ROANOKE, VA 24014(540) 981-7128 Get Directions Write a Review

NPPES record last updated: April 30, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Charles E Conklin Jr. Dds NPPES

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

DR. CHARLES E CONKLIN JR. DDS (NPI 1366410839) is an individual oral and maxillofacial surgery provider in Roanoke, Virginia, licensed in Virginia (0401-004990) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366410839

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. CHARLES E CONKLIN JR.Credential: DDS

Location Address2017 JEFFERSON ST SW, CARILION DENTAL CLINICRoanoke, VA 24014-2419

Mailing Address4569 Keagy RdRoanoke, VA 24018-7417

Phone(540) 981-7128

Sole ProprietorNo

Enumeration DateMarch 10, 2006

Last NPPES UpdateApril 30, 2008

✔ NPI 1366410839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in VA · 0401-004990

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.

2017 JEFFERSON ST SW, Roanoke, VA 24014

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Other Identifiers 4

Medicaid7816146VA

Medicaid7805225VA

Medicare PIN190000302

Medicare UPINT21659

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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. Charles E Conklin Jr. Dds 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 24014 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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