Clay Cunningham Dietz, D.D.S.

Endodontics · Troy, MI

Individual Active NPI

NPI number 1073643417

Practice location

5877 Livernois Rd
Suite #106
Troy, MI 48098-3100
Phone
(248) 828-3636

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NPI record

NPI
1073643417
Entity type
Individual (Type 1)
Enumeration date
March 6, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Endodontics Primary 1223E0200X 2901018693 MI

Mailing address

3733 Ravena Ave
Royal Oak, MI 48073-6439
Phone
(734) 320-9993

About Dr. Dietz

Clay Cunningham Dietz, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Endodontics (code 1223E0200X). The practice location is 5877 Livernois Rd, Suite #106, Troy, MI 48098-3100. The NPI number 1073643417 was assigned on March 6, 2007 and the record was last updated on July 8, 2007.

Dr. Dietz lists a license in the registry: #2901018693 (MI) for Endodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Clay Cunningham Dietz, D.D.S.?

The NPI number is 1073643417.

What is the phone number of Dr. Dietz?

The phone number listed for the practice location is (248) 828-3636.

Where is Dr. Dietz located?

5877 Livernois Rd, Suite #106, Troy, MI 48098-3100.

What is the taxonomy code for Dr. Dietz?

The primary taxonomy code is 1223E0200X – Endodontics.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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