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Contact Information

DERIK P DECONINCK, DDS
11300 E 13 MILE RD
WARREN, MI48093
 Phone: 586-573-6860
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for DERIK P DECONINCK · (Male)

NPI Number 1619002706
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 02/22/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 2901017367
Hospital affiliation(s) Not Available
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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