Dr. Clay Cunningham Dietz
Endodontist
5877 Livernois Rd Suite #106
Troy
, Michigan 48098-3100
Dr. Clay Cunningham Dietz
Endodontist
5877 Livernois Rd Suite #106
Troy
, Michigan 48098-3100
(734) 320-9993
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About
Features
Specialties
- Endodontist
Languages spoken
- English
Location
First Address
- Dr. Clay Cunningham Dietz
- 3733 Ravena Ave
- Royal Oak, MI
- Zip : 48073-6439
- Phone : (734) 320-9993
Second Address
- Dr. Clay Cunningham Dietz
- 5877 Livernois Rd Suite #106
- Troy, MI
- Zip : 48098-3100
- Phone : (248) 828-3636
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223E0200X | Endodontist | 2901018693 | MI |
National Provider Identifier
| NPI | 1073643417 |
|---|---|
| Provider Name | Dr. Clay Cunningham Dietz |
| First Address | Royal Oak, MI 48073-6439 |
| Second Address | Troy, MI 48098-3100 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/03/2007 |
| Last Update Date | 08/07/2007 |
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.