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

Konstantine Dietrich, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1023479888

Konstantine Dietrich, DDS is a Student in an Organized Health Care Education/Training Program in Moody AFB, Georgia. Licensed in Virginia. Registered with an NPI since 2016.

Licensed in
VA
In the registry since
2016
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

3278 Mitchell Blvd
Moody AFB, GA 31699-1500
Phone: (229) 257-2778
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 0401414848 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 0401414848 (VA)

Record details

NPI number1023479888
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMarch 8, 2016
Last updated in NPPESSeptember 5, 2023
Certification dateSeptember 5, 2023

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