Provider Demographics
NPI:1043380843
Name:TYMINSKI, HENRY H JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:HENRY
Middle Name:H
Last Name:TYMINSKI
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 720194
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-0194
Mailing Address - Country:US
Mailing Address - Phone:956-994-3434
Mailing Address - Fax:956-994-3436
Practice Address - Street 1:3321 N WARE RD
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-3309
Practice Address - Country:US
Practice Address - Phone:956-994-3434
Practice Address - Fax:956-994-3436
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX162291223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice