# ENDODONTIC ASSOCIATES OF MICHIGAN PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Endodontic Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154496818
- **Authorized official:** DR. GERALD C DIETZ JR. DDS (PARTNER DOCTOR)
- **Authorized official phone:** (248) 647-7930

## Contact information

- **Practice address:** 5825 S. MAIN STREET, STE. 103, CLARKSTON, MI 48346
- **Practice address phone:** (248) 620-0002
- **Practice address fax:** (248) 620-0025
- **Mailing address:** 5825 S. MAIN STREET, STE. 103, CLARKSTON, MI 48346
- **Mailing address phone:** (248) 620-0002
- **Mailing address fax:** (248) 620-0025

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 9345 | MI | Yes |

## Other

- **Enumeration date:** 11/21/2006
- **Last updated:** 04/03/2025