NPIMap

Organization Active NPI

Endodontic Associates of Michigan PLLC

  • Endodontics
  • Farmington Hills, MI
National Provider Identifier
1033166996
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
ENDODONTIC ASSOCIATES OF MICHIGAN PLLC
Practice address
31410 Northwestern Hwy
Ste. C
Farmington Hills, MI 48334-2563
Phone
(248) 737-1360
NPI assigned
May 27, 2006
Last updated
Mar 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Gerald C Dietz Jr., DDSNPI 1497795660
Title
Partner Doctor
Phone
(248) 647-7930

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

31410 Northwestern Hwy
Ste. C
Farmington Hills, MI 48334-2563

Mailing address

31410 Northwestern Hwy
Ste C
Farmington Hills, MI 48334-2563
Phone (248) 737-1360

Other names 1

  • Endodontic Associates Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Endodontic Associates9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

50 W Big Beaver Rd
Ste 200
Bloomfield Hills, MI 48304
Phone (248) 647-7930

31410 Northwestern Hwy
Farmington Hills, MI 48334
Phone (248) 313-2273

31410 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 647-0186

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1033166996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31410 NORTHWESTERN HWY",
            "address_2": "STE C",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342563",
            "telephone_number": "248-737-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31410 NORTHWESTERN HWY",
            "address_2": "STE. C",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342563",
            "telephone_number": "248-737-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDODONTIC ASSOCIATES OF MICHIGAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2025-03-03",
        "status": "A",
        "authorized_official_last_name": "DIETZ",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PARTNER DOCTOR",
        "authorized_official_telephone_number": "248-647-7930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Endodontic Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.