Provider Demographics
NPI:1376689497
Name:COLE, EMERY MICHAEL (DMD, FAGD)
Entity Type:Individual
Prefix:DR
First Name:EMERY
Middle Name:MICHAEL
Last Name:COLE
Suffix:
Gender:M
Credentials:DMD, FAGD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 146
Mailing Address - Street 2:
Mailing Address - City:SUMITON
Mailing Address - State:AL
Mailing Address - Zip Code:35148-0146
Mailing Address - Country:US
Mailing Address - Phone:205-648-3212
Mailing Address - Fax:205-648-7354
Practice Address - Street 1:44 OAK DRIVE
Practice Address - Street 2:
Practice Address - City:SUMITON
Practice Address - State:AL
Practice Address - Zip Code:35148-3800
Practice Address - Country:US
Practice Address - Phone:205-648-3212
Practice Address - Fax:205-648-7354
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL45001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice