Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN P KONICKI, DDS
ActiveDR. JOHN P KONICKI, DDS is a Dentist healthcare provider located in DUPONT, Pennsylvania. NPI 1760592430 is currently active in the NPPES registry. Verify at CMS.
Dentist · DUPONT, PA
Registration Details
- NPI Number
- 1760592430
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 30, 2006 (19.938375405704 yrs)
- Last Updated
- Jul 8, 2007
- License
-
DS023443L (PA)
Practice Information
- Address
-
278 MAIN STREETSUITE 101DUPONT, PA, 18641Browse PA providers · Browse ZIP 18641
- Phone
- 5706558973
- Fax
- 5706553588
- Primary Specialty
-
Dentist
122300000X
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.