DR. GERALD C DIETZ JR. (NPI# 1497795660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497795660 |
| Entity Type | Individual |
| Full Name | DR. GERALD C DIETZ JR. |
| Credential | D.D.S. |
| Practice Address |
50 W Big Beaver Rd Suite 200 Bloomfield Hills MI 48304-3910 |
| Practice Telephone | 2486477930 |
| Practice Fax Number | 2486470576 |
| Mailing Telephone | 2486477930 |
| Mailing Fax Number | 2486470576 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
13733 | MI | Dental Providers |
| Street Address |
50 W BIG BEAVER RD SUITE 200 |
| City | BLOOMFIELD HILLS |
| State | MI |
| Zip Code | 48304-3910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578566881 | Edward Anthony Borio | Dentist | 50 W Big Beaver Rd, Ste 100b, Bloomfield Hills, MI 48304-3917 | 2005-05-31 |
| 1225642309 | Dr's Madorsky & Pullman Dds | Dentist | 50 W Big Beaver Rd, Ste 290, Bloomfield Hills, MI 48304 | 2020-09-04 |
| 1265863021 | Total Dental Fitness | Dentist | 50 W Big Beaver Rd, Ste 120, Bloomfield Hills, MI 48304-3910 | 2013-12-04 |
| 1902066624 | James Brian Nowicki | Dentist | 50 W Big Beaver Rd, Suite 200, Bloomfield Hills, MI 48304-3910 | 2008-06-16 |
| 1144494733 | Dr. Patrick T. Ainslie Dds Ms PC | Dentist | 50 W Big Beaver Rd, Suite150, Bloomfield Hills, MI 48304-3910 | 2008-04-15 |
| 1831362888 | Madorsky & Pullman, Dds, Pllc | Dentist | 50 W Big Beaver Rd, Suite 290, Bloomfield Hills, MI 48304-3910 | 2008-04-10 |
| 1720262348 | Bloomfield Oral & Maxillofacial Surgery, P.C. | Dentist | 50 W Big Beaver Rd, Suite 190, Bloomfield Hills, MI 48304-3910 | 2007-12-18 |
| 1518147016 | Roy D Mcannally | Dentist | 50 W Big Beaver Rd, Suite 215, Bloomfield Hills, MI 48304 | 2007-11-13 |
| 1033321468 | Robert M. Heller, D.d.s., P.C. | Dentist | 50 W Big Beaver Rd, Suite 120, Bloomfield Hills, MI 48304-3910 | 2007-05-06 |
| 1073736781 | Thomas Michael Pullman | Dentist | 50 W Big Beaver Rd, Suite 290, Bloomfield Hills, MI 48304-3910 | 2007-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093346462 | Easy Living Assistance | Adult Companion | 41000 Woodward Ave Suite E 350, Bloomfield Twp, MI 48304 | 2020-02-04 |
| 1013499979 | Bloomfield Hills Dental Associates Pllc | Dentist | 36700 Woodward Avenue, Suite 200, Bloomfield Hills, MI 48304 | 2018-09-06 |
| 1780191965 | Donna Jane Bishop | Social Worker | 549 Kingsley Trail, Bloomfield Hills, MI 48304 | 2018-01-09 |
| 1750730636 | Rana Karcho | Occupational Therapist | 40800 Woodward Ave., Bloomfield Hills, MI 48304 | 2016-06-10 |
| 1447607684 | Jennifer Ramsey-martin | Technician, Other | 458 Fox Hills Dr. N. Apt #7, Bloomfield Hills, MI 48304 | 2016-05-18 |
| 1922438811 | Rachel Mary Eshkanian | Counselor | 41000 Woodward Avenue, Suite 350 East, Bloomfield Hills, MI 48304 | 2013-11-14 |
| 1578887535 | Earle W. Spohn Jr. D.o. P.C. | Surgery | 27 Balfour Dr, Bloomfield Hills, MI 48304 | 2010-03-19 |
| 1710110440 | John Hazlett Mclaughlin | Surgery | 756 Briar Hill Lane, Bloomfield Hills, MI 48304 | 2009-08-28 |
| 1710120597 | Bala Shanker Prasad | Orthopaedic Surgery | 264, Pine Ridge Dr, Bloomfield Hills, MI 48304 | 2009-04-09 |
| 1083862460 | Nermeen Hassan Elnabtity | Dentist | 950 Southdown Rd, Bloomfield Hills, MI 48304 | 2008-08-28 |
| Find all providers in zip 48304 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568704468 | Arnold Harry Gartner | Dentist | 1547 W Long Lake Rd, Bloomfield Hills, MI 48302-1342 | 2013-03-19 |
| 1588741144 | Samuel Robert Epley II | Dentist | 300 E Long Lake Road, Suite 290, Bloomfield Hills, MI 48304 | 2006-11-01 |
| 1902066624 | James Brian Nowicki | Dentist | 50 W Big Beaver Rd, Suite 200, Bloomfield Hills, MI 48304-3910 | 2008-06-16 |
| 1053578203 | Anthony E Dietz | Dentist | 300 E Long Lake Rd, Ste. 290, Bloomfield Hills, MI 48304-2374 | 2008-05-16 |
| 1669518551 | American Professional Endodontics | Dentist | 300 E Long Lake, Ste 311, Bloomfield Hills, MI 48304 | 2007-01-29 |
| 1588601728 | Michael Hoen | Dentist | 50 W Big Beaver Rd, Suite 200, Bloomfield Hills, MI 48304-3910 | 2006-05-31 |
| 1538116579 | Endodontic Associates | Dentist | 50 W Big Beaver Rd, #200, Bloomfield Hills, MI 48304-3910 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647514 | Drs Mesh, P.C. | Dentist | 15555 Silver Parkway, Fenton, MI 48430 | 2020-07-23 |
| 1285252874 | Plymouth Endodontics | Dentist | 9416 S Main St Ste 212, Plymouth, MI 48170-4148 | 2020-07-09 |
| 1578192712 | Rabban-acho Dental Pllc | Dentist | 38550 Garfield Rd Ste C, Clinton Township, MI 48038-3406 | 2020-04-08 |
| 1700411378 | Macomb Endodontics | Dentist | 51817 Gratiot Ave, Chesterfield, MI 48051-2014 | 2020-03-04 |
| 1861950701 | Garfield Road Dental- 2 | Dentist | 15401 Dix Toledo Rd, Southgate, MI 48195-2662 | 2019-03-11 |
| 1336654102 | Elite Endodontics | Dentist | 1135 S Lapeer Rd Ste A, Lake Orion, MI 48360-1432 | 2017-12-02 |
| 1255719456 | Norton Shores Dental PC | Dentist | 837 Seminole Rd Ste 100, Norton Shores, MI 49441-6734 | 2015-05-08 |
| 1396186292 | Ryan Brooks Mcmahan | Dentist | 400 W Main St Ste 106, Gaylord, MI 49735-1870 | 2013-07-09 |
| 1124461579 | Sarmad Mazin Alyas | Dentist | 37641 Pembroke Ave, Livonia, MI 48152-1050 | 2013-04-16 |
| 1811258221 | Kari Brodsky | Dentist | 50055 Van Dyke Ave, Shelby Township, MI 48317-1352 | 2012-06-01 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMFIELD HILLS |
| Zip Code | 48304 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.