1. Home
  2. Directory
  3. Georgia
  4. Moody Afb
  5. Dentist
  6. NPI Profile

KONSTANTINE DIETRICH DDS
NPI 1023479888
Dentist - General Practice in Moody Afb, GA

Active since March 08, 2016
3278 MITCHELL BLVD, MOODY AFB, GA 31699(229) 257-2778 Get Directions Write a Review

NPPES record last updated: September 5, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 5, 2023, Sep 11, 2019, May 3, 2018 (3 updates tracked since 2018).

About Konstantine Dietrich Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KONSTANTINE DIETRICH DDS (NPI 1023479888) is an individual general practice provider in Moody Afb, Georgia, licensed in Virginia (0401414848) and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1023479888
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameKONSTANTINE DIETRICHCredential: DDS
Location Address3278 MITCHELL BLVDMoody Afb, GA 31699-1500
Mailing Address3278 Mitchell BlvdMoody Afb, GA 31699-1500 · (229) 257-2778
Phone(229) 257-2778
Sole ProprietorNo
Enumeration DateMarch 8, 2016
Last NPPES UpdateSeptember 5, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2023
✔ NPI 1023479888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in VA · 0401414848
Definition
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 0401414848 (VA)
3278 MITCHELL BLVD, Moody Afb, GA 31699
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MESHVA AKWALIA D.O.
Pediatrics
3278 MITCHELL BLVD
MOODY AFB, GA 31699
Lowndes County (229) 257-2778
DR. ADAM K FRY PT DPT
Physical Therapist
3278 MITCHELL BLVD
MOODY AFB, GA 31699
Lowndes County (229) 257-6364
DR. JAMES PIERCE PHARMD
Pharmacist
3278 MITCHELL BLVD, PHARMACY
MOODY AFB, GA 31699
Lowndes County (229) 257-2341
JEREL E MERIDA JR.
Physician Assistant
3278 MITCHELL BLVD
MOODY AFB, GA 31699
Lowndes County (229) 257-2778
SAMUEL DEWAYNE OLDHAM PSYD
Psychologist (Clinical)
3278 MITCHELL BLVD
MOODY AFB, GA 31699
Lowndes County (229) 257-2778
DEBRA SIZEMORE MS, WHNP-BC, RNC-OB
Nurse Practitioner (Women's Health)
3278 MITCHELL BLVD
MOODY AFB, GA 31699
Lowndes County (671) 366-2460
DR. LASHAYLA TEEMER DYER LCSW
Social Worker (Clinical)
3278 MITCHELL BLVD
MOODY AFB, GA 31699
Lowndes County (229) 257-3998
MRS. CINDY CATHERINE RULLO
Physician Assistant
3278 MITCHELL BLVD
MOODY AFB, GA 31699
Lowndes County (229) 257-2778

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Konstantine Dietrich's NPI number?

The NPI number for Konstantine Dietrich is 1023479888. It was assigned to this individual provider in the NPPES registry on March 8, 2016.

Where is Konstantine Dietrich located?

Konstantine Dietrich practices at 3278 Mitchell Blvd, Moody Afb, GA 31699. The listed phone number is (229) 257-2778.

What is Konstantine Dietrich's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Konstantine Dietrich was last updated on September 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.