DR. JOSEPH LOUIS KONZELMAN JR. (NPI# 1144273590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144273590 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH LOUIS KONZELMAN JR. |
| Credential | DDS |
| Practice Address |
114 Galyn Dr Brunswick MD 21758 |
| Mailing Address |
114 Galyn Dr Brunswick MD 21758-9020 |
| Practice Telephone | 3018346932 |
| Practice Fax Number | 3018346932 |
| Mailing Telephone | 3018346932 |
| Mailing Fax Number | 3016346932 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2007-12-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN009508 | GA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | ZG9508 | 05 |
| Street Address |
114 GALYN DR |
| City | BRUNSWICK |
| State | MD |
| Zip Code | 21758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104356724 | Jenna Starr | Behavioral Analyst | 3611 S Mountain Rd, Knoxville, MD 21758 | 2017-06-15 |
| 1124653597 | Jami Nelson | Behavior Technician | 1524 Clover Hill Ln, Knoxville, MD 21758-1105 | 2020-03-06 |
| 1093160905 | Holly Knill | Counselor | 2168 Reed Rd, Knoxville, MD 21758-1124 | 2016-04-28 |
| 1841464690 | Beverly Whitehead Fairchild | Counselor | 953 Hoffmaster Rd, Knoxville, MD 21758-1216 | 2008-04-14 |
| 1881060143 | Lindsey Gill Carter | Dietitian, Registered | 1008 Weverton Rd, Knoxville, MD 21758-1412 | 2015-08-20 |
| 1083851315 | Blue Ridge Physical Therapy, LLC | Specialist | 1833 Point of Rocks Rd, Knoxville, MD 21758-9024 | 2009-01-08 |
| 1760606727 | Teresa Ann Winder | Occupational Therapist | 1 Donovan Ct, Brunswick, MD 21758-9028 | 2007-04-12 |
| 1699074559 | Donny Wendell Smith | Social Worker | 3745 Maplecrest Dr, Knoxville, MD 21758-9118 | 2011-03-17 |
| 1104866342 | Kelly Anne Price | Social Worker | 2212 Jefferson Pike, Knoxville, MD 21758-9213 | 2006-06-07 |
| 1881075109 | Centrepointe Counseling, Inc. | Counselor | 2212 Jefferson Pike, Knoxville, MD 21758-9213 | 2015-06-11 |
| Find all providers in zip 21758 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386204568 | Keni Leonce | Dentist | 11455 Canal Xing, Brunswick, GA 31525-6747 | 2019-06-19 |
| 1497260145 | Brunswick Dentisty LLC | Dentist | 4741 Altama Ave, Brunswick, GA 31520-2910 | 2017-12-04 |
| 1124576954 | Georgia Dental Professionals, PC | Dentist | 165 Juniper Cir, Brunswick, GA 31520-1953 | 2016-09-21 |
| 1336430123 | Mary Anne Mackey | Dentist | 64 Pleasant St, Brunswick, ME 04011-2203 | 2011-04-27 |
| 1275703522 | Joe C. Massey | Dentist | 1108 1st St, Brunswick, GA 31520-4512 | 2008-03-03 |
| 1518162197 | Peter M Mazzeo | Dentist | 1026 Pearl Road, Suites 1 & 2, Brunswick, OH 44212 | 2007-06-15 |
| 1437364338 | George Michael Wommack | Dentist | 2900 Glynn Ave, Brunswick, GA 31520-4844 | 2007-05-14 |
| 1538374822 | Darryl Dale Daniel I | Dentist | 11 Professional Dr, Brunswick, GA 31520-3773 | 2007-05-11 |
| 1750501227 | Brian P. Kudla | Dentist | 2111 Pearl Rd, Brunswick, OH 44212-3245 | 2007-04-26 |
| 1649393851 | Robert William Mandel | Dentist | 3864 Center Rd, Brunswick, OH 44212 | 2007-04-10 |
| Find all providers in BRUNSWICK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.