Provider Demographics
NPI:1043327380
Name:EMRICH, CAROLYN BARBER (DDS)
Entity Type:Individual
Prefix:MRS
First Name:CAROLYN
Middle Name:BARBER
Last Name:EMRICH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:595 COPELAND MILL RD
Mailing Address - Street 2:SUITE 2E
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-8900
Mailing Address - Country:US
Mailing Address - Phone:614-898-9994
Mailing Address - Fax:614-898-1098
Practice Address - Street 1:595 COPELAND MILL RD
Practice Address - Street 2:SUITE 2E
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-8900
Practice Address - Country:US
Practice Address - Phone:614-898-9994
Practice Address - Fax:614-898-1098
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300191571223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH311767324028OtherCARE SOURCE
OH2339786Medicare ID - Type Unspecified