Provider Demographics
NPI:1528396397
Name:JOHN D. DINKA, D.D.S. & CATHERINE M. OSINSKI DINKA, D.D.S. P.C.
Entity Type:Organization
Organization Name:JOHN D. DINKA, D.D.S. & CATHERINE M. OSINSKI DINKA, D.D.S. P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:D
Authorized Official - Last Name:DINKA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:586-939-5800
Mailing Address - Street 1:35100 TIFFANY DR STE 101
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48312-3508
Mailing Address - Country:US
Mailing Address - Phone:586-939-5800
Mailing Address - Fax:586-939-1522
Practice Address - Street 1:35100 TIFFANY DR STE 101
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48312-3508
Practice Address - Country:US
Practice Address - Phone:586-939-5800
Practice Address - Fax:586-939-1522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-06
Last Update Date:2009-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty