ENDODONTIC ASSOCIATES OF MICHIGAN PLLC
NPI 1164479101
Dentist - Endodontics in Waterford, MI

Active since May 27, 2006
2335 PONTIAC LAKE RD, STE. D, WATERFORD, MI 48328(248) 683-2300 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 3, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Endodontic Associates Of Michigan Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ENDODONTIC ASSOCIATES OF MICHIGAN PLLC (NPI 1164479101) is a healthcare organization registered as an endodontics in Waterford, Michigan and active in the NPI registry since May 2006. The organization lists Gerald C Dietz, Partner Doctor, as its authorized official.

NPPES Registry Identity

NPI1164479101
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameENDODONTIC ASSOCIATES OF MICHIGAN PLLC
Location Address2335 PONTIAC LAKE RD, STE. DWaterford, MI 48328-2761
Mailing Address2335 Pontiac Lake Rd, Ste. DWaterford, MI 48328-2761 · (248) 683-2300
Organization SubpartNo
Authorized OfficialGerald C DietzPartner Doctor · (248) 647-7930
Enumeration DateMay 27, 2006
Last NPPES UpdateMarch 3, 20252 updates tracked since enumeration
NPI 1164479101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
2335 PONTIAC LAKE RD, Waterford, MI 48328

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
2335 PONTIAC LAKE RD
WATERFORD, MI 48328
Dentist (General Practice)
2335 PONTIAC LAKE RD, STE. L
WATERFORD, MI 48328
Dentist (General Practice)
2335 PONTIAC LAKE RD
WATERFORD, MI 48328
Dentist (General Practice)
2335 PONTIAC LAKE RD
WATERFORD, MI 48328
Dentist (Endodontics)
2335 PONTIAC LAKE RD
WATERFORD, MI 48328
Dentist
2335 PONTIAC LAKE RD
WATERFORD, MI 48328

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Endodontic Associates Of Michigan PLLC's NPI number?

The NPI number for Endodontic Associates Of Michigan PLLC is 1164479101. It was assigned to this organization in the NPPES registry on May 27, 2006.

Where is Endodontic Associates Of Michigan PLLC located?

Endodontic Associates Of Michigan PLLC is located at 2335 Pontiac Lake Rd Ste. D, Waterford, MI 48328. The listed phone number is (248) 683-2300.

What is Endodontic Associates Of Michigan PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

What insurance does Endodontic Associates Of Michigan PLLC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Endodontic Associates Of Michigan PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Endodontic Associates Of Michigan PLLC was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.