# KONIKOFF DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285032995
- **Authorized official:** VICTORIA J 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) 416-1400
- **Mailing address:** 2100 LYNNHAVEN PKWY, SUITE \#100, VIRGINIA BEACH, VA 23456-1492
- **Mailing address phone:** (757) 416-1400
- **Mailing address fax:** (757) 257-0085

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401414697 | VA | Yes |

## Other

- **Enumeration date:** 12/11/2014
- **Last updated:** 07/21/2026