# KONIKOFF DENTAL ASSOCIATES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dental Care Alliance
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063570968
- **Authorized official:** VICTORIA JOHNSON (CRO)
- **Authorized official phone:** (941) 444-0558

## Contact information

- **Practice address:** 2100 LYNNHAVEN PKWY, SUITE 100, VIRGINIA BEACH, VA 23456-1492
- **Practice address phone:** (757) 416-1800
- **Practice address fax:** (757) 416-9276
- **Mailing address:** 2100 LYNNHAVEN PKWY, SUITE 100, VIRGINIA BEACH, VA 23456-1492
- **Mailing address phone:** (757) 416-1800
- **Mailing address fax:** (757) 416-9276

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | VA | Yes |

## Other

- **Enumeration date:** 12/04/2006
- **Last updated:** 07/21/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 019711 | ANTHEM | VA |
| 01 | — | 816276 | UNITED CONCORDIA | — |