Provider Demographics
NPI:1013092378
Name:HELSLEY, CONRAD ALLEN (DDS)
Entity Type:Individual
Prefix:
First Name:CONRAD
Middle Name:ALLEN
Last Name:HELSLEY
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 1:494 WALTON ST
Mailing Address - Street 2:
Mailing Address - City:STRASBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22657-2343
Mailing Address - Country:US
Mailing Address - Phone:540-465-4145
Mailing Address - Fax:
Practice Address - Street 1:145 W SPRING ST
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:VA
Practice Address - Zip Code:22664-1240
Practice Address - Country:US
Practice Address - Phone:540-459-2512
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010050641223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice