| David Ira Konicov, DDS | |
|
189 Governor St, Suite 201, Providence, RI 02906-3124 | |
| (401) 421-1457 | |
| Not Available |
| Full Name | David Ira Konicov |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 189 Governor St, Providence, Rhode Island |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033264866 | NPI | - | NPPES |
| DK01000 | Medicaid | RI | |
| 1907 | Other | RI | RI LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 1907 (Rhode Island) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| David Ira Konicov, DDS 189 Governor St, Suite 201, Providence, RI 02906-3124 Ph: (401) 421-1457 | David Ira Konicov, DDS 189 Governor St, Suite 201, Providence, RI 02906-3124 Ph: (401) 421-1457 |
Jairahadeep Singh, Dentist Medicare: Medicare Enrolled Practice Location: 335r Prairie Ave, Providence, RI 02905 Phone: 401-444-0430 Fax: 401-444-0489 | |
Christine Marie Ramalho, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy Street, Joseph Samuels Dental Center At Rih, Providence, RI 02903 Phone: 401-444-7195 Fax: 401-444-3494 | |
Sweta Thakur, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 335r Prairie Avenue, Providence, RI 02905 Phone: 401-444-0430 Fax: 401-444-0489 | |
Dr. Michael C Furia, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 400 Reservoir Ave, Suite 3d, Providence, RI 02907 Phone: 401-941-3353 Fax: 401-461-6558 | |
Dr. Alan Pan, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 16 Bridge St, Corliss Landing, Providence, RI 02903 Phone: 401-861-5600 Fax: 401-861-5603 | |
Elliot Chiu, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 21 Peace St, St. Joseph Pedi. Dental, Providence, RI 02907 Phone: 401-456-4441 Fax: 401-456-4089 |