# KONIKOFF DENTAL SPECIALISTS, INC.

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

## Provider details

- **NPI number:** 1679914394
- **Authorized official:** MRS. PAULINE HEATH (CEO)
- **Authorized official phone:** (757) 416-1400

## Contact information

- **Practice address:** 2100 LYNNHAVEN PKWY, SUITE 200, VIRGINIA BEACH, VA 23456-1492
- **Practice address phone:** (757) 416-1400
- **Practice address fax:** (757) 282-7630
- **Mailing address:** 2100 LYNNHAVEN PKWY, SUITE 200, VIRGINIA BEACH, VA 23456-1492
- **Mailing address phone:** (757) 416-1400
- **Mailing address fax:** (757) 282-7630

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 07/10/2013
- **Last updated:** 07/10/2013