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

Dr. William Konicki, DMD, MD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1285014662

Dr. William Konicki, DMD, MD is an Oral and Maxillofacial Surgery (Dentist) in Wake Forest, North Carolina. Works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2015
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1711 S Main St
Wake Forest, NC 27587-9287
Phone: (919) 841-1720
Show map & directions

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

Additional practice locations (1)

  • 550 1st Ave, New York, NY 10016-6402 — (212) 263-5506

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 2022-00025 (NC)

Record details

NPI number1285014662
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD , MD
Sole proprietorNo
NPI enumeratedJune 1, 2015
Last updated in NPPESNovember 10, 2025
Certification dateNovember 10, 2025
Mailing address550 1st Ave, New York, NY 10016-6402

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