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CAITLIN COURTNEY KONICEK DDS
NPI 1396354197
Dentist in Roseburg, OR

Active since July 28, 2020
1100 NW GARDEN VALLEY BLVD, ROSEBURG, OR 97471(541) 673-7437 Get Directions Write a Review

NPPES record last updated: July 28, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Caitlin Courtney Konicek Dds NPPES

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

CAITLIN COURTNEY KONICEK DDS (NPI 1396354197) is an individual dentist in Roseburg, Oregon, licensed in Oregon (D11266) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1396354197
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameCAITLIN COURTNEY KONICEKCredential: DDS
Location Address1100 NW GARDEN VALLEY BLVDRoseburg, OR 97471-1923
Mailing Address1100 Nw Garden Valley BlvdRoseburg, OR 97471-1923 · (541) 673-7437
Phone(541) 673-7437
Sole ProprietorNo
Enumeration DateJuly 28, 2020
NPPES CertifiedJuly 28, 2020
✔ NPI 1396354197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in OR · D11266
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1100 NW GARDEN VALLEY BLVD, Roseburg, OR 97471
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Other Providers at the Same Location NPPES 4

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

DR. EMILY GAUNT DMD
Dentist (General Practice)
1100 NW GARDEN VALLEY BLVD
ROSEBURG, OR 97471
Douglas County (541) 673-7437
ALANSON M. RANDOL DDS, P.C.
Dentist (General Practice)
1100 NW GARDEN VALLEY BLVD
ROSEBURG, OR 97471
Douglas County (541) 673-7437
DR. ALEXIS ATCHINSON D.D.S.
Dentist
1100 NW GARDEN VALLEY BLVD
ROSEBURG, OR 97471
Douglas County (541) 673-7437
CHERISH S SWEEDEN RDH
Dental Hygienist
1100 NW GARDEN VALLEY BLVD
ROSEBURG, OR 97471
Douglas County (541) 673-7437

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 Caitlin Konicek's NPI number?

The NPI number for Caitlin Konicek is 1396354197. It was assigned to this individual provider in the NPPES registry on July 28, 2020.

Where is Caitlin Konicek located?

Caitlin Konicek practices at 1100 NW Garden Valley Blvd, Roseburg, OR 97471. The listed phone number is (541) 673-7437.

What is Caitlin Konicek's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Caitlin Konicek was last updated on July 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.