# ENDODONTIC ASSOCIATES OF MICHIGAN PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164479101
- **Authorized official:** DR. GERALD C DIETZ JR. DDS (PARTNER DOCTOR)
- **Authorized official phone:** (248) 647-7930

## Contact information

- **Practice address:** 2335 PONTIAC LAKE RD, STE. D, WATERFORD, MI 48328-2761
- **Practice address phone:** (248) 683-2300
- **Mailing address:** 2335 PONTIAC LAKE RD, STE. D, WATERFORD, MI 48328-2761
- **Mailing address phone:** (248) 683-2300

## Taxonomy

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

## Other

- **Enumeration date:** 05/27/2006
- **Last updated:** 03/03/2025