# CHARLES I. EMRICH AND ASSOCIATES PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245282706
- **Authorized official:** DR. CHARLES IRA EMRICH DMD (DENTIST/CEO)
- **Authorized official phone:** (859) 263-8888

## Contact information

- **Practice address:** 131 PROSPEROUS PL, SUITE 20 A, LEXINGTON, KY 40509-1853
- **Practice address phone:** (859) 263-8888
- **Practice address fax:** (859) 263-0030
- **Mailing address:** 131 PROSPEROUS PL, SUITE 20 A, LEXINGTON, KY 40509-1853
- **Mailing address phone:** (859) 263-8888
- **Mailing address fax:** (859) 263-0030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4985 | KY | Yes |

## Other

- **Enumeration date:** 05/16/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 60049855 | — | KY |