ENDODONTIC ASSOCIATES (NPI# 1902853021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902853021 |
| Entity Type | Organization |
| Organization Name | ENDODONTIC ASSOCIATES |
| Practice Address |
18303 E 10 Mile Rd Roseville MI 48066-4988 |
| Practice Telephone | 5867732000 |
| Mailing Telephone | 5867732000 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. GERALD C. DIETZ (ADMINISTRATOR) |
| Authorized Official Telephone | 2486477930 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811124654 | Endodontic Associates | Dentist | 2900 Union Lake Rd Ste 218, Commerce Township, MI 48382-3526 | 2009-06-19 |
| 1861637308 | Endodontic Associates | Dentist | 1434 E 4500 S Ste 201, Salt Lake City, UT 84117-4252 | 2008-12-12 |
| 1215183744 | Endodontic Associates | Dentist | 3516 5th Ave, Suite #2, Pittsburgh, PA 15213-3332 | 2008-08-15 |
| 1255501904 | Endodontic Associates | Dentist | 8120 S Holly St., Ste 214, Centennial, CO 80122 | 2008-03-10 |
| 1861611949 | Endodontic Associates | Health Maintenance Organization | 82 Coyle Street, Portland, ME 04101 | 2007-04-25 |
| 1265507164 | Endodontic Associates | Dentist | 43114 Dequindre, Sterling Heights, MI 48314 | 2006-11-24 |
| 1033166996 | Endodontic Associates | Dentist | 31410 Northwestern Hwy, Farmington Hills, MI 48334-2563 | 2006-05-27 |
| 1003862327 | Endodontic Associates | Dentist | 315 E Eisenhower Pkwy, #220, Ann Arbor, MI 48108-3350 | 2006-05-26 |
| 1598235582 | Endodontic Associates | Dentist | 25500 Meadowbrook Rd, Ste. 125, Novi, MI 48375 | 2018-12-03 |
| 1215375407 | Endodontic Associates | Dentist | 1225 Breckenridge Dr, Ste 203, Little Rock, AR 72205-1558 | 2013-06-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | ENDODONTIC ASSOCIATES AT THE HEIGHTS LLP | 185 Montague Street, 9th Floor, Brooklyn, Ny 11201 |
| New York State Corporations | ENDODONTIC ASSOCIATES OF BROOKLYN HEIGHTS P.C. | 185 Montague Street, 9th Floor, Brooklyn, Ny 11201 |
| Oregon Corporations, Companies and Business Names | ENDODONTIC ASSOCIATES OF EUGENE - SPRINGFIELD | 85 Centennial Loop, Eugene, OR 97401 |
| New York State Corporations | ENDODONTIC ASSOCIATES OF GREATER NEW YORK, P.C. | 515 Madison Avenue, Suite 715, New York, Ny 10022 |
| Iowa Business Entities | ENDODONTIC ASSOCIATES OF IOWA CITY, L.L.C. | 2814 Northgate Dr, Iowa City, IA 52245 |
| Massachusetts Corporations | ENDODONTIC ASSOCIATES OF LEXINGTON, P.C. | 33 Bedford St., Ste. 15, Lexington, MA 02420 |
| Connecticut Business Registrations | Endodontic Associates of Norwalk LLC | 120 East Avenue, Norwalk, CT 06851 |
| Oregon Corporations, Companies and Business Names | ENDODONTIC ASSOCIATES, P.C. | 700 Ne Multnomah Ste 880, Portland, OR 97232 |
| Connecticut Business Registrations | ENDODONTIC ASSOCIATES, P.C. | 429 New Haven Avenue, Milford, CT 06460 |
| New York State Corporations | ENDODONTIC ASSOCIATES, P.C. | 5700 Commons Park Drive, East Syracuse, New York 13057 |
| Street Address |
18303 E 10 MILE RD |
| City | ROSEVILLE |
| State | MI |
| Zip Code | 48066-4988 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255337689 | Joel C Engel | Internal Medicine | 18303 E 10 Mile Rd, Suite 100, Roseville, MI 48066-4988 | 2005-06-21 |
| 1962888354 | Pacharee Kulwattanaporn | Dentist | 18303 E 10 Mile Rd, Suite 150, Roseville, MI 48066-4988 | 2015-08-07 |
| 1578990339 | Elizabeth Smith | Social Worker | 18303 E 10 Mile Rd, Roseville, MI 48066-4988 | 2013-10-10 |
| 1740625524 | Lydia Joy Rayes | Family Medicine | 18303 E 10 Mile Rd, Suite 500, Roseville, MI 48066-4988 | 2013-05-07 |
| 1043458516 | Gennea Nickole Moore | Psychologist | 18303 E 10 Mile Rd, Roseville, MI 48066-4988 | 2009-01-21 |
| 1477733756 | Paul Campbell Do PC | Family Medicine | 18303 E 10 Mile Rd, Roseville, MI 48066-4988 | 2007-11-05 |
| 1477754323 | Ali H Shakir | Internal Medicine | 18303 E 10 Mile Rd, Suite 100, Roseville, MI 48066-4988 | 2007-05-29 |
| 1679783344 | Bobak Taher Rabbani | Internal Medicine | 18303 E 10 Mile Rd, Suite 100, Roseville, MI 48066-4988 | 2007-05-23 |
| 1154350890 | Cardiovascular Institute of Michigan, P.C. | Internal Medicine | 18303 E 10 Mile Rd, Suite 100, Roseville, MI 48066-4988 | 2006-07-03 |
| 1194765305 | Edward Fitzpatrick | Dentist | 18303 E 10 Mile Rd, Suite 150, Roseville, MI 48066-4988 | 2006-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761400 | Louay Mansour Dds PC | Dentist | 27845 Gratiot Avenue, Roseville, MI 48066 | 2020-08-20 |
| 1558911842 | Jomy Jose | Nurse Practitioner | 25719 Salem St, Roseville, MI 48066 | 2019-09-18 |
| 1053963033 | Convenient Rv PC | Dentist | 19551 E. 10 Mile Rd, Roseville, MI 48066 | 2019-07-10 |
| 1063914539 | Colleen Meriweather | Registered Nurse | 27300 Spruce, Rosevilel, MI 48066 | 2018-03-01 |
| 1326565789 | Renee Suzette Hoelzeman | Nurse Practitioner | 18472 Meier St, Roseville, MI 48066 | 2017-08-27 |
| 1225561400 | Eugenia Dillard | Counselor | 28351 Gratiot Ave., Suite 3, Roseville, MI 48066 | 2017-04-05 |
| 1932651338 | Julie Plichota | Physical Therapist | 31120 Gratiot Ave, Roseville, MI 48066 | 2016-11-01 |
| 1699221325 | Jaquenta Glasker | Technician, Other | 26778 Rosewood, Roseville, MI 48066 | 2016-09-01 |
| 1609296144 | Peter Jajou | Dermatology | 18285 E 10 Mile Rd Ste 130, Roseville, MI 48066 | 2014-04-23 |
| 1619393899 | Katherine Michelle Johnson | Obstetrics & Gynecology | 29751 Little Mack Ave Ste B, Roseville, MI 48066 | 2014-03-11 |
| Find all providers in zip 48066 | ||||
| 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 |
|---|---|---|---|---|
| 1144672874 | Andrey Antonenko | Dentist | 10 Sierra Gate Plz Ste 190, Roseville, CA 95678-6647 | 2016-07-06 |
| 1316221674 | Dwyer & Dow, A Dental Corp. | Dentist | 730 Sunrise Avenue #110, Roseville, CA 95661-4549 | 2011-10-05 |
| 1922296391 | Bruce M. Holt, D.d.s., Inc. | Dentist | 1421 Secret Ravine Pkwy., Suite 101, Roseville, CA 95661 | 2007-10-10 |
| 1740357706 | James Robert Dow | Dentist | 730 Sunrise Ave, Suite 110, Roseville, CA 95661-4549 | 2006-11-28 |
| 1275617367 | Thomas George Dwyer | Dentist | 730 Sunrise Avenue, #110, Roseville, CA 95661-4549 | 2006-10-25 |
| 1659936441 | Wdwrosevillepllc | Dentist | 21055 E 12 Mile Rd, Roseville, MI 48066-2205 | 2019-05-07 |
| 1962888354 | Pacharee Kulwattanaporn | Dentist | 18303 E 10 Mile Rd, Suite 150, Roseville, MI 48066-4988 | 2015-08-07 |
| 1851772362 | Dental Specialists of Minnesota, Pllc | Dentist | 2200 County Road C W, Suite 2210, Roseville, MN 55113-2550 | 2015-06-11 |
| 1891933875 | Edmond Kenneth Chow | Dentist | 2420 Professional Dr, Roseville, CA 95661-7773 | 2009-01-28 |
| 1194980284 | Kevin J. O'neill, D.d.s., M.s.d., Inc. | Dentist | 10 Sierra Gate Plz, Suite #190, Roseville, CA 95678-6645 | 2008-07-28 |
| Find all providers in ROSEVILLE | ||||
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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.