# KOENIGSKNECHT DENTISTRY PLLC

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

## Provider details

- **NPI number:** 1801309265
- **Authorized official:** ERIN KOENIGSKNECHT (OFFICE ADMINISTRATOR)
- **Authorized official phone:** (989) 224-2319

## Contact information

- **Practice address:** 102 E CASS ST, SAINT JOHNS, MI 48879-1833
- **Practice address phone:** (989) 224-2319
- **Practice address fax:** (989) 224-2144
- **Mailing address:** 102 E CASS ST, SAINT JOHNS, MI 48879-1833
- **Mailing address phone:** (989) 224-2319
- **Mailing address fax:** (989) 224-2144

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2901011826 | MI | — |
| 1223G0001X | General Practice Dentistry | 2901019112 | MI | — |
| 1223G0001X | General Practice Dentistry | 2901020405 | MI | — |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 11/08/2017
- **Last updated:** 06/11/2019