Provider Demographics
NPI:1548801681
Name:EMRICH & WOOD, DDS, PLLC
Entity Type:Organization
Organization Name:EMRICH & WOOD, DDS, PLLC
Other - Org Name:
Other - Org Type:
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:919-553-5652
Mailing Address - Street 1:660 NC HIGHWAY 42 W
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27520-5803
Mailing Address - Country:US
Mailing Address - Phone:919-553-5652
Mailing Address - Fax:919-553-4035
Practice Address - Street 1:660 NC HIGHWAY 42 W
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27520-5803
Practice Address - Country:US
Practice Address - Phone:919-553-5652
Practice Address - Fax:919-553-4035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-30
Last Update Date:2019-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty