NPIMap

Organization Active NPI

Endodontic Associates of Michigan PLLC

  • Endodontics
  • Commerce, MI
National Provider Identifier
1811124654
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
10551 Issued in MH
Legal business name
ENDODONTIC ASSOCIATES OF MICHIGAN PLLC
Practice address
2900 Union Lake Rd
Ste 218
Commerce, MI 48382
Phone
(248) 363-9345
Fax
(248) 363-9346
NPI assigned
Jun 19, 2009
Last updated
Apr 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 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 with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 10551 MH Primary

Addresses

Primary practice location

2900 Union Lake Rd
Ste 218
Commerce, MI 48382

Mailing address

2900 Union Lake Rd
Ste 218
Commerce, MI 48382
Phone (248) 363-9345

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

2900 Union Lake Rd
Ste 218
Commerce Township, MI 48382
Phone (248) 363-9345

Practitioners & affiliated clinicians

Practitioners 2

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": "1245369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743638400000",
    "number": "1811124654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 UNION LAKE RD",
            "address_2": "STE 218",
            "city": "COMMERCE",
            "state": "MI",
            "postal_code": "48382",
            "telephone_number": "248-363-9345",
            "fax_number": "248-363-9346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 UNION LAKE RD",
            "address_2": "STE 218",
            "city": "COMMERCE",
            "state": "MI",
            "postal_code": "48382",
            "telephone_number": "248-363-9345",
            "fax_number": "248-363-9346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDODONTIC ASSOCIATES OF MICHIGAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-19",
        "last_updated": "2025-04-03",
        "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": "",
            "desc": "Dentist, Endodontics",
            "state": "MH",
            "license": "10551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.