Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Corey Dane Konieczki, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1477132561

Dr. Corey Dane Konieczki, DMD is a Student in an Organized Health Care Education/Training Program in Loves Park, Illinois. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2028 E Riverside Blvd Ste 210
Loves Park, IL 61111-4800
Phone: (815) 315-4073
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1477132561
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedApril 6, 2021
Last updated in NPPESJune 25, 2021
Certification dateJune 25, 2021

Other providers in Loves Park