Dr. Katelyn Hornbuckle Conley, DMD
Dentist, Oral and Maxillofacial Surgery in Roswell, GA. Individual provider (NPI-1).
NPI number1407470511
StatusActive
Last updated in NPPESMar 13, 2025
Details
- NPI
- 1407470511
- Entity type
- Individual (NPI-1)
- Name
- Dr. Katelyn Hornbuckle Conley
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 4, 2020
- Certification date
- Mar 13, 2025
- Last updated
- Mar 13, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - ORAL SURGERY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | DN123412 | GA | Yes |
Practice location
10930 Crabapple Rd Ste 160Roswell, GA 30075-7631
Phone 678-781-0050
Mailing address
10930 Crabapple Rd Ste 160Roswell, GA 30075-7631
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