Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KONSTANTINE DIETRICH, DDS
ActiveKONSTANTINE DIETRICH, DDS is a General Dentistry healthcare provider located in MOODY AFB, Georgia. NPI 1023479888 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · MOODY AFB, GA
Registration Details
- NPI Number
- 1023479888
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 8, 2016 (10.257268295925 yrs)
- Last Updated
- Sep 5, 2023
- Licenses
-
0401414848 (VA)0401414848 (VA)
Practice Information
- Address
-
3278 MITCHELL BLVDMOODY AFB, GA, 316991500Browse GA providers · Browse ZIP 31699
- Phone
- 2292572778
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
Other General Dentistry Providers in MOODY AFB, GA
| Name | Credential | NPI |
|---|---|---|
| DR. MARK WILLIAM HENDERSON | DMD | 1992792840 |
| DR. JORDAN ROBBINS | DMD | 1083147367 |
| LAURA ANDREA LONDONO | DMD | 1487281937 |
| JACOB AARON FREEZE | DMD | 1053949198 |
| SHUJIE YAN | D.M.D | 1093300477 |
| EMARY CLIMACOSA | — | 1548925712 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.