# ENDODONTIC ASSOCIATES

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

## Provider details

- **NPI number:** 1265507164
- **Authorized official:** DR. GERALD C DIETZ SR. D.D.S. (DIRECTOR)
- **Authorized official phone:** (248) 647-7930

## Contact information

- **Practice address:** 43114 DEQUINDRE, STERLING HEIGHTS, MI 48314
- **Practice address phone:** (586) 254-1110
- **Practice address fax:** (586) 254-1169
- **Mailing address:** 43114 DEQUINDRE, STERLING HEIGHTS, MI 48314
- **Mailing address phone:** (586) 254-1110
- **Mailing address fax:** (586) 254-1169

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 13733 | MI | Yes |

## Other

- **Enumeration date:** 11/24/2006
- **Last updated:** 08/22/2020