Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1629367883 Individual Practitioner Female Practitioner

Dr. Suzanne Konieczkowski , DMD

Dentist - General Practice • Columbus, OH

Professional Overview & Biography Verified Profile Summary

Dr. Suzanne Konieczkowski, DMD is a registered healthcare professional specializing in Dentist - General Practice in Columbus, OH. Practice services are available at 305 W 12TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

305 W 12th Ave

Columbus, OH 432101267

Telephone 6178947175
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Columbus, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 47.0 Yrs
State Avg: 19.6 Yrs
Regional Practice Density
351 Specialists

Practicing in Columbus, OH (4287 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-04-27
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OH 30.026326

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

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.

Secondary Practice Locations

75 Francis St

Boston, MA 021156110

Phone: 6178947175

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1013151943

Doctor of Dental Surgery

Mitchell Thai

Dentist - General Practice

NPI 1013750413
Dr. Diana Mahmoodi , DMD

Dentist - Prosthodontics

NPI 1013807403

Doctor of Dental Medicine

NPI 1023165651

Doctor of Dental Surgery

NPI 1023373701

Doctor of Dental Surgery

Dr. Jennifer Burzynski , DMD

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1023409349

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location April 27, 2021

Registered at 305 W 12TH AVE, COLUMBUS, OH 432101267 (Tel: 6178947175)

📍
Updated Business Mailing Address April 27, 2021

Registered at 305 W 12TH AVE, COLUMBUS, OH 432101267 (Tel: 6178947175)

👤
Provider Name / Credentials Updated April 27, 2021

Recorded as SUZANNE KONIECZKOWSKI, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2021

Dentist (License #30.026326 in OH)

NPI Profile Active April 19, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location April 19, 2011

Registered at 75 FRANCIS ST, BOSTON, MA 021156110 (Tel: 6178947175)

📍
Updated Business Mailing Address April 19, 2011

Registered at 8 WIGGLESWORTH ST, APT #4, ROXBURY CROSSING, MA 021201679 (Tel: 6178947175)

👤
Provider Name / Credentials Updated April 19, 2011

Recorded as SUZANNE KONIECZKOWSKI

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2011

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 28, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629367883
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 28, 2011
Last Update: April 27, 2021
Sole Proprietor: No

Mailing Address

305 W 12th Ave

Columbus, OH 432101267

Phone: 6178947175

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.