Anthony E Dietz
Endodontist
300 E Long Lake Rd Ste. 290
Bloomfield Hills
, Michigan 48304-2374
Anthony E Dietz
Endodontist
300 E Long Lake Rd Ste. 290
Bloomfield Hills
, Michigan 48304-2374
(248) 644-9091
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About
Features
Specialties
- Endodontist
Languages spoken
- English
Location
First Address
- Anthony E Dietz
- 300 E Long Lake Rd Ste. 290
- Bloomfield Hills, MI
- Zip : 48304-2374
- Fax : (248) 644-9091
- Phone : (248) 644-6136
Second Address
- Anthony E Dietz
- 300 E Long Lake Rd Ste. 290
- Bloomfield Hills, MI
- Zip : 48304-2374
- Fax : (248) 644-9091
- Phone : (248) 644-6136
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223E0200X | Endodontist | AD4179001 | MI |
National Provider Identifier
| NPI | 1053578203 |
|---|---|
| Provider Name | Anthony E Dietz |
| First Address | Bloomfield Hills, MI 48304-2374 |
| Second Address | Bloomfield Hills, MI 48304-2374 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/05/2008 |
| Last Update Date | 16/05/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.