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Contact Information

ENDODONTIC ASSOCIATES OF MICHIGAN PLLC
2335 PONTIAC LAKE RD
STE. D
WATERFORD TOWNSHIP, MI48328-2761
 Phone: 248-683-2300
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for ENDODONTIC ASSOCIATES OF MICHIGAN PLLC

NPI # 1164479101
LBN Legal business name ENDODONTIC ASSOCIATES OF MICHIGAN PLLC
Authorized official GERALD DIETZ - (PARTNER DOCTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/27/2006
Last updated 03/03/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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