Organization
CHARLES I. EMRICH AND ASSOCIATES PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES IRA EMRICH DMD (DENTIST/CEO)
(859) 263-8888
Entity
Organization
Contact information
Practice address
131 PROSPEROUS PL, SUITE 20 A, LEXINGTON, KY 40509-1853
(859) 263-8888
(859) 263-0030
Mailing address
131 PROSPEROUS PL, SUITE 20 A, LEXINGTON, KY 40509-1853
(859) 263-8888
(859) 263-0030
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4985
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60049855
—
KY
Enumeration date
05/16/2006
Last updated
08/22/2020
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