DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: RONALD F. KONOPKA D.D.S.

MEDICARE: RONALD F. KONOPKA D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist2901010614MI
21223G0001XGeneral Practice Dentistry10614MI

General Provider Information

NPI Number : 1093847576
Entity Type Code : Individual
Provider Name (Legal Business Name) : RONALD F. KONOPKA D.D.S.
Provider Business Mailing Address
First Line : 559 W GRAND BLVD
Second Line :
City : DETROIT
State : MI
Zip : 48216-2200
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5716 MICHIGAN AVE
Second Line :
City : DETROIT
State : MI
Zip : 48210-3039
Country : US
Telephone Number : 313-554-3880
Fax Number : 313-899-3550
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2007
Last Update Date : 05/18/2022

Similar Medicare Providers

1205827573 — DR. LISA J MCINTOSH MD
Practice Location Address:
5716 MICHIGAN AVE
DETROIT, MI
48210-3039
Practice Phone: 313-554-1095
Practice Fax: 313-899-3560
1528032174 — DR. SCOTT PAUL STRYD MD
Practice Location Address:
5716 MICHIGAN AVE
DETROIT, MI
48210-3039
Practice Phone: 313-554-1095
Practice Fax: 313-899-3560
1295832905 — MS. SARAH ROSE CRANE
Practice Location Address:
5716 MICHIGAN AVE
DETROIT, MI
48210-3039
Practice Phone: 313-963-2266
Practice Fax:
1245320118 — SHERWOOD DANIEL POPE MD
Practice Location Address:
5716 MICHIGAN AVE
DETROIT, MI
48210-3039
Practice Phone: 313-554-1095
Practice Fax: 313-899-3560
1720134943 — COVENANT COMMUNITY CARE, INC.
Practice Location Address:
5716 MICHIGAN AVE
DETROIT, MI
48210-3039
Practice Phone: 313-554-1095
Practice Fax:
1518168020 — MARY KATTA HAKIM M.D.
Practice Location Address:
5716 MICHIGAN AVE
DETROIT, MI
48210-3039
Practice Phone: 313-554-1095
Practice Fax: 313-899-3560

Directions to “ RONALD F. KONOPKA D.D.S.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.