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Contact Information

ENDODONTIC ASSOCIATES OF MICHIGAN PLLC
2900 UNION LAKE RD
STE 218
COMMERCE CHARTER TOWNSHIP, MI48382
 Phone: 248-363-9345
 Fax: 248-363-9346
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for ENDODONTIC ASSOCIATES OF MICHIGAN PLLC

NPI Number 1811124654
LBN Legal business name ENDODONTIC ASSOCIATES OF MICHIGAN PLLC
Authorized official GERALD DIETZ - (PARTNER DOCTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/19/2009
Last updated 04/03/2025 - More than a year ago
Identifiers
MH License # 10551
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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