Healthcare Provider Details

I. General information

NPI: 1538081146
Provider Name (Legal Business Name): JOSH KONIKOFF DENTAL CENTER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2105 PRINCESS ANNE RD STE 108
VIRGINIA BEACH VA
23456-4164
US

IV. Provider business mailing address

2105 PRINCESS ANNE RD STE 108
VIRGINIA BEACH VA
23456-4164
US

V. Phone/Fax

Practice location:
  • Phone: 757-516-4977
  • Fax: 757-517-0266
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSHUA AARON KONIKOFF
Title or Position: OWNER
Credential: D.D.S.
Phone: 757-652-6499