# ENDODONTIC ASSOCIATES OF MICHIGAN PLLC

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

## Provider details

- **NPI number:** 1598235582
- **Authorized official:** DR. GERALD C DIETZ DDS (PARTNER DOCTOR)
- **Authorized official phone:** (248) 647-0186

## Contact information

- **Practice address:** 25500 MEADOWBROOK, STE. 125, NOVI, MI 48375
- **Practice address phone:** (248) 427-0488
- **Practice address fax:** (248) 427-0588
- **Mailing address:** 25500 MEADOWBROOK, STE. 125, NOVI, MI 48375
- **Mailing address phone:** (248) 427-0488
- **Mailing address fax:** (248) 427-0588

## Taxonomy

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

## Other

- **Enumeration date:** 12/03/2018
- **Last updated:** 04/03/2025