Provider Demographics
NPI:1598879546
Name:KOSINSKI, TIMOTHY FRANK (MS DDS)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:FRANK
Last Name:KOSINSKI
Suffix:
Gender:M
Credentials:MS DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31000 TELEGRAPH RD STE 170
Mailing Address - Street 2:
Mailing Address - City:BINGHAM FARMS
Mailing Address - State:MI
Mailing Address - Zip Code:48025
Mailing Address - Country:US
Mailing Address - Phone:248-646-8651
Mailing Address - Fax:248-646-8659
Practice Address - Street 1:31000 TELEGRAPH RD STE 170
Practice Address - Street 2:
Practice Address - City:BINGHAM FARMS
Practice Address - State:MI
Practice Address - Zip Code:48025
Practice Address - Country:US
Practice Address - Phone:248-646-8651
Practice Address - Fax:248-646-8659
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901013769122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist