Provider Demographics
NPI:1225249717
Name:SAMNUEL R. EMRICH, DDS, PA
Entity Type:Organization
Organization Name:SAMNUEL R. EMRICH, DDS, PA
Other - Org Name:CALAMOS AND MARSH DDS, PA
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:EMRICH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:919-821-0008
Mailing Address - Street 1:1321 OBERLIN RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27608-2052
Mailing Address - Country:US
Mailing Address - Phone:919-821-0008
Mailing Address - Fax:919-821-0010
Practice Address - Street 1:1321 OBERLIN RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27608-2052
Practice Address - Country:US
Practice Address - Phone:919-821-0008
Practice Address - Fax:919-821-0010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-25
Last Update Date:2019-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC45111223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8902882Medicaid