Search › Pennsylvania › 122300000X
John Konicki, DDS
NPI 1760592430 · on the registry since 2006
Practice
- Address
- 278 Main Street
Suite 101
Dupont, PA 18641 - Phone
- (570) 655-8973
- Fax
- (570) 655-3588
- Organisation at this address
- Wishbone Enterprises Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania