Provider Demographics
NPI:1003363516
Name:GD ASSOCIATES, PLLC
Entity Type:Organization
Organization Name:GD ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:JAFFE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:248-374-2273
Mailing Address - Street 1:23895 NOVI RD
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375-0201
Mailing Address - Country:US
Mailing Address - Phone:248-374-2273
Mailing Address - Fax:248-349-5398
Practice Address - Street 1:23895 NOVI RD
Practice Address - Street 2:SUITE 500
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48375-0201
Practice Address - Country:US
Practice Address - Phone:248-374-2273
Practice Address - Fax:248-349-5398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI200931223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty