| Konikoff Family Dentistry | |
|
7400 Granby St Norfolk VA 23505-3436 | |
| (757) 583-1535 | |
| (757) 480-1889 |
| Full Name | Konikoff Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7400 Granby St, Norfolk, Virginia |
| Authorized Official Name and Position | Stephen E Konikoff (PRESIDENT) |
| Authorized Official Contact | 7575831535 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Konikoff Family Dentistry 7400 Granby St Norfolk VA 23505-3436 Ph: (757) 583-1535 | Konikoff Family Dentistry 7400 Granby St Norfolk VA 23505-3436 Ph: (757) 583-1535 |
| NPI Number | 1831256650 |
|---|---|
| Provider Enumeration Date | 01/02/2007 |
| Last Update Date | 09/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831256650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401004880 (Virginia) | Primary |
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