Albert B. Konikoff
Periodontist
477 Viking Dr
Virginia Beach
, Virginia 23452-7354
Albert B. Konikoff
Periodontist
477 Viking Dr
Virginia Beach
, Virginia 23452-7354
(757) 463-0148
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Albert B. Konikoff
- 1018 Dartford Mews
- Virginia Beach, VA
- Zip : 23452-6160
- Fax : (757) 463-0148
- Phone : (757) 486-2796
Second Address
- Albert B. Konikoff
- 477 Viking Dr
- Virginia Beach, VA
- Zip : 23452-7354
- Fax : (757) 463-0148
- Phone : (757) 486-8181
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | 4445 | VA |
National Provider Identifier
| NPI | 1144228719 |
|---|---|
| Provider Name | Albert B. Konikoff |
| First Address | Virginia Beach, VA 23452-6160 |
| Second Address | Virginia Beach, VA 23452-7354 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/07/2005 |
| Last Update Date | 03/10/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.