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Organization
KONIKOFF DENTAL ASSOCIATES, INC.
Active
Organization
KONIKOFF DENTAL ASSOCIATES, INC.
Active
Other names
Dental Care Alliance
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA JOHNSON (CRO)
(941) 444-0558
Entity
Organization
Contact information
Practice address
2100 LYNNHAVEN PKWY, SUITE 100, VIRGINIA BEACH, VA 23456-1492
(757) 416-1800
(757) 416-9276
Mailing address
2100 LYNNHAVEN PKWY, SUITE 100, VIRGINIA BEACH, VA 23456-1492
(757) 416-1800
(757) 416-9276
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019711
ANTHEM
VA
01
—
816276
UNITED CONCORDIA
—
Enumeration date
12/04/2006
Last updated
07/21/2026
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