National Provider Identifier Database

DERIK P DECONINCK, DDS – NPI #1619002706
Endodontics

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.


Contact Information

DERIK P DECONINCK, DDS
11300 E 13 MILE RD
WARREN, MI48093
Phone: 586-573-6860
Fax:
Website:
Specialty Taxonomy Code
* Endodontics 1223E0200X

* Indicates primary specialty

NPI Profile & details for DERIK P DECONINCK

NPI Number 1619002706
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 02/22/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 No
Identifiers
  • MI License #: 2901017367
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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