IndividualActive
A Timothy Deconinck, DDS
NPI 1124163738 · Endodontics · Warren, MI
Provider details
- NPI number
- 1124163738
- Entity type
- Individual
- Primary specialty
- EndodonticsDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 2901009162 (MI)
Specialties & taxonomies
Dental Providers
Practice location
11300 E 13 Mile Rd
Warren, MI 48093
Phone: (586) 573-6860
Fax: (586) 573-6308
Approximate (ZIP-level) locationGet directions
Mailing address
11300 E 13 Mile Rd
Warren, MI 48093
Registry dates
- Enumerated
- 2007-02-21
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.