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DR. ROBERT CONLON D.D.S.
NPI 1487668612
Dentist - Oral and Maxillofacial Surgery in Lake Geneva, WI

Active since July 27, 2006Opted out of Medicare · through May 25, 2028
312 CENTER ST, LAKE GENEVA, WI 53147(262) 248-8766(262) 248-6790 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Robert Conlon D.d.s. NPPES

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

DR. ROBERT CONLON D.D.S. (NPI 1487668612) is an individual oral and maxillofacial surgery provider in Lake Geneva, Wisconsin, licensed in Wisconsin (2490) and active in the NPI registry since July 2006. He has opted out of Medicare through May 25, 2028.

NPPES Registry Identity

NPI1487668612
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. ROBERT CONLONCredential: D.D.S.
Location Address312 CENTER STLake Geneva, WI 53147-1904
Mailing Address312 Center StLake Geneva, WI 53147-1904 · (262) 248-8766 · Fax (262) 248-6790
Phone(262) 248-8766
Fax(262) 248-6790
Sole ProprietorNo
Enumeration DateJuly 27, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1487668612 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 WI · 2490
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.
312 CENTER ST, Lake Geneva, WI 53147
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Other Identifiers 3

Medicare UPINT37819WI
Medicare ID-Type Unspecified683930IL
Medicare ID-Type Unspecified76484WI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Robert Conlon D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 25, 2022 through May 25, 2028.

Opt-Out Effective DateMay 25, 2022
Opt-Out In Effect ThroughMay 25, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

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

LAKE GENEVA ORAL AND MAXILLOFACIAL SURGERY, LTD
Dentist (Oral and Maxillofacial Surgery)
312 CENTER ST
LAKE GENEVA, WI 53147
Walworth County (262) 248-8766
ERNST A. CORNIELSEN D.D.S.
Dentist (Oral and Maxillofacial Surgery)
312 CENTER ST
LAKE GENEVA, WI 53147
Walworth County (262) 248-2868
DR. MATTHEW JOSEPH HEINZ DDS, MD
Dentist (Oral and Maxillofacial Surgery)
312 CENTER ST
LAKE GENEVA, WI 53147
Walworth County (262) 248-8766

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 Robert Conlon's NPI number?

The NPI number for Robert Conlon is 1487668612. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Robert Conlon located?

Robert Conlon practices at 312 Center St, Lake Geneva, WI 53147. The listed phone number is (262) 248-8766.

What is Robert Conlon's specialty?

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

Is Robert Conlon enrolled in Medicare?

No. Robert Conlon has opted out of Medicare through May 25, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Robert Conlon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.