John P Konicki is a Dentist in Dupont, Pennsylvania. John P Konicki practices all healthcare services and medical treatments related to Dentist. The NPI Number for John P Konicki is 1760592430. The last update date is 2007-07-08.
John P Konicki's current location address is 278 Main Street, Dupont, Pennsylvania. You can contact this provider via phone number 5706558973 and fax number 5706553588. The mailing address for John P Konicki is 278 Main Street, Dupont, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John P Konicki |
|---|---|
| Address | 278 Main Street, Dupont, Pennsylvania |
| Phone Number | 5706558973 |
| Fax Number | 5706553588 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1760592430 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 278 Main Street |
|---|---|
| City | Dupont |
| State | Pennsylvania (PA) |
| Post Code | 18641 |
| Phone Number | 5706558973 |
| Fax Number | 5706553588 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DS023443L |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the John P Konicki's unique identification number?
The John P Konicki has been assigned the NPI (National Provider Identifier) Number 1760592430 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the John P Konicki's physical address?
The John P Konicki is physically located at 278 Main Street, in the city of Dupont, PA, with the postal code 18641.
What is John P Konicki's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for John P Konicki is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
On what date did John P Konicki receive its 1760592430 assignment from the Centers for Medicare & Medicaid Services?
The John P Konicki was assigned its 1760592430 on 2006-08-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to John P Konicki last refreshed?
The information related to the John P Konicki, including its address, specialty, and other relevant details, was last updated on 2007-07-08.