Individual provider · Type 1 NPI

William Konicki, DMD, MD

Student in an Organized Health Care Education/Training Program · Wake Forest, NC

NPI number 1285014662 Active

Practice location

1711 S Main St
Wake Forest, NC 27587-9287

Call (919) 841-1720 Map

Mailing address

550 1st Ave
New York, NY 10016-6402

Other practice locations

  • 550 1st Ave, New York, NY 10016-6402 · (212) 263-5506

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) 1223S0112X2022-00025 (NC)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Another provider at this address

Other student in an organized health care education/training program providers in Wake Forest

See all in Wake Forest →

About NPI 1285014662

William Konicki, DMD, MD's National Provider Identifier is 1285014662, issued on Jun 1, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Wake Forest, NC. The record was last updated on Nov 10, 2025.