Dr. Charles E Conklin Jr., DDS
Dr. Charles E Conklin Jr. is a Oral and Maxillofacial Surgery (Dentist) provider (Dentist) practicing in Roanoke, VA, registered in the NPPES registry with NPI 1366410839 since 2006. The credential DDS stands for Doctor of Dental Surgery.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1366410839 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Charles E Conklin Jr. |
| Credential | DDS |
| Sex | Male |
| Practice address | 2017 JEFFERSON ST SW, CARILION DENTAL CLINIC, Roanoke, VA, 24014 |
| Phone | 5409817128 |
| Enumeration date | 2006-03-10 |
| Last updated in NPPES | 2008-04-30 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | Primary | 0401-004990 | VA |
DDS — Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7816146 | Medicaid | VA | — |
| 7805225 | Medicaid | VA | — |
Copy-ready billing details
Provider: Charles Conklin, DDS NPI: 1366410839 Taxonomy: 1223S0112X (Oral and Maxillofacial Surgery (Dentist)) Address: 2017 JEFFERSON ST SW, CARILION DENTAL CLINIC, Roanoke, VA, 24014
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1437156700 | Robert Trestman | Individual | Psychiatry Physician | Roanoke, VA |
| 1942293998 | Malinda Whitfield | Individual | Psychiatric/Mental Health Nurse Practitioner | Roanoke, VA |
| 1477535920 | Tracey Criss | Individual | Psychiatry Physician | Roanoke, VA |
| 1154303618 | William Rea | Individual | Psychiatry Physician | Roanoke, VA |
| 1902888464 | Daniel Harrington | Individual | Psychiatry Physician | Roanoke, VA |
| 1154307155 | Carilion Medical Center | Organization | Psychiatric Hospital Unit | Roanoke, VA |
| 1275509804 | Gregory Petersen | Individual | Clinical Psychologist | Roanoke, VA |
| 1780650325 | Jean Westervelt | Individual | Clinical Social Worker | Roanoke, VA |
Verify this record
Cross-check NPI 1366410839 against the authoritative CMS record: view Dr. Charles E Conklin Jr. on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Is this the official NPI registry?
What specialty is Charles Conklin?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-04-30.