Healthcare Provider Details

I. General information

NPI: 1215851480
Provider Name (Legal Business Name): TKN DENTAL, P.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2026
Last Update Date: 08/08/2026
Certification Date: 08/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2130 S TELEGRAPH RD
BLOOMFIELD HILLS MI
48302-0259
US

IV. Provider business mailing address

2130 S TELEGRAPH RD
BLOOMFIELD HILLS MI
48302-0259
US

V. Phone/Fax

Practice location:
  • Phone: 248-860-6863
  • Fax:
Mailing address:
  • Phone: 248-860-6863
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DR. TABITHA SALAM NAIMI
Title or Position: DENTIST
Credential: DDS
Phone: 248-860-6863