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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CAITLIN COURTNEY KONICEK, DDS

Active

CAITLIN COURTNEY KONICEK, DDS is a Dentist healthcare provider located in ROSEBURG, Oregon. NPI 1396354197 is currently active in the NPPES registry. Verify at CMS.

Dentist · ROSEBURG, OR

Registration Details

NPI Number
1396354197
Provider Type
Individual
Gender
Female
NPI Issued
Jul 28, 2020 (6.0427247207258 yrs)
Last Updated
Jul 28, 2020
License
D11266 (OR)

Practice Information

Address
1100 NW GARDEN VALLEY BLVD
ROSEBURG, OR, 974711923
Browse OR providers · Browse ZIP 97471
Phone
5416737437
Primary Specialty
Dentist
122300000X

Other Dentist Providers in ROSEBURG, OR

Name Credential NPI
DR. JOE WAYNE HOWARD JR. D.D.S. 1801881974
ROBERT M ORR D.D.S. 1851348437
DR. ANDREA S. BRAUN DDS 1386668044
DR. WILLIAM LEE WILLIS DDS 1528150299
GEOFFREY A STARK DMD 1326131970
ADAM DAVID DAVIS DMD 1770660912
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.