Mr. A Timothy Deconinck
Endodontist
11300 E 13 Mile Rd
Warren
, Michigan 48093
Mr. A Timothy Deconinck
Endodontist
11300 E 13 Mile Rd
Warren
, Michigan 48093
(586) 573-6308
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About
Features
Specialties
- Endodontist
Languages spoken
- English
Location
First Address
- Mr. A Timothy Deconinck
- 11300 E 13 Mile Rd
- Warren, MI
- Zip : 48093
- Fax : (586) 573-6308
- Phone : (586) 573-6860
Second Address
- Mr. A Timothy Deconinck
- 11300 E 13 Mile Rd
- Warren, MI
- Zip : 48093
- Fax : (586) 573-6308
- Phone : (586) 573-6860
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Is Mr. A Timothy Deconinck a sole practitioner?
Is Mr. A Timothy Deconinck accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223E0200X | Endodontist | 2901009162 | MI |
National Provider Identifier
| NPI | 1124163738 |
|---|---|
| Provider Name | Mr. A Timothy Deconinck |
| First Address | Warren, MI 48093 |
| Second Address | Warren, MI 48093 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/02/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.