David Ira Konicov, DDS - Dentist in Providence, RI

David Ira Konicov, DDS is a Dentist based in Providence, Rhode Island. David Ira Konicov is licensed to practice in Rhode Island (license number 1907) and his current practice location is 189 Governor St, Suite 201, Providence, Rhode Island. He can be reached at his office (for appointments etc.) via phone at (401) 421-1457.

NPI number for David Ira Konicov is 1033264866 and his current mailing address is 189 Governor St, Suite 201, Providence, Rhode Island. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1033264866.

Contact Information

David Ira Konicov, DDS
189 Governor St, Suite 201,
Providence, RI 02906-3124
(401) 421-1457
Not Available



Healthcare Provider's Profile

Full NameDavid Ira Konicov
GenderMale
SpecialityDentist
Location189 Governor St, Providence, Rhode Island
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1033264866
  • Provider Enumeration Date: 01/24/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for David Ira Konicov such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033264866NPI-NPPES
DK01000MedicaidRI
1907OtherRIRI LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 1907 (Rhode Island)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. David Ira Konicov is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
David Ira Konicov, DDS
189 Governor St, Suite 201,
Providence, RI 02906-3124

Ph: (401) 421-1457
David Ira Konicov, DDS
189 Governor St, Suite 201,
Providence, RI 02906-3124

Ph: (401) 421-1457

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› Verified 1 days ago


Dentist in Providence, RI

Jairahadeep Singh,
Dentist
Medicare: Medicare Enrolled
Practice Location: 335r Prairie Ave, Providence, RI 02905
Phone: 401-444-0430    Fax: 401-444-0489
Christine Marie Ramalho, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 593 Eddy Street, Joseph Samuels Dental Center At Rih, Providence, RI 02903
Phone: 401-444-7195    Fax: 401-444-3494
Sweta Thakur, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 335r Prairie Avenue, Providence, RI 02905
Phone: 401-444-0430    Fax: 401-444-0489
Dr. Michael C Furia, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 400 Reservoir Ave, Suite 3d, Providence, RI 02907
Phone: 401-941-3353    Fax: 401-461-6558
Dr. Alan Pan, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 16 Bridge St, Corliss Landing, Providence, RI 02903
Phone: 401-861-5600    Fax: 401-861-5603
Elliot Chiu, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 21 Peace St, St. Joseph Pedi. Dental, Providence, RI 02907
Phone: 401-456-4441    Fax: 401-456-4089

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