Derik Deconinck, DDS

NPI 1619002706 · on the registry since 2007

Practice

Address: 11300 E 13 Mile Rd
Warren, MI 48093
Phone: (586) 573-6860
Organisation at this address: Michigan Endodontics Pc
Dr William Bloom & Associates Pc
Mission Obstetrics & Gynecology P C
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 15

Registry record

Primary taxonomy: Endodontics
1223E0200X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan