David Ira Konicov is a Providence, Rhode Island based Dentist who is specialized in Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of David Ira Konicov is 1907 for Dentistry in Rhode Island. His current practice location is 189 Governor St, Suite 201, Providence. Patients can reach him at 401-421-1457.
David Ira Konicov is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
David Ira Konicov speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
David Ira Konicov
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
189 Governor St, Suite 201, Providence, Rhode Island, 02906-3124
Phone:
401-421-1457
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1033264866
NPI Enumeration Date:
24 Jan, 2007
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for David Ira Konicov are as mentioned below.
License Number
Specialization
State
Status
1907
Dentistry
Rhode Island
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with David Ira Konicov such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
DK01000
Medicaid
Rhode Island
1907
Other
Rhode Island
RI LICENSE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
189 Governor St, Suite 201 Providence, Rhode Island
Zip:
02906-3124
Phone Number:
401-421-1457
Patients can reach David Ira Konicov at 189 Governor St, Suite 201, Providence, Rhode Island or can call to book an appointment on 401-421-1457. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.