Provider Demographics
NPI:1013130277
Name:EMRICH, STEVEN CHRISTOPHER (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:CHRISTOPHER
Last Name:EMRICH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:937 POLARIS WOODS BLVD
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43082-8076
Mailing Address - Country:US
Mailing Address - Phone:614-888-4577
Mailing Address - Fax:614-888-9740
Practice Address - Street 1:937 POLARIS WOODS BLVD
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43082-8076
Practice Address - Country:US
Practice Address - Phone:614-888-4577
Practice Address - Fax:614-888-9740
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30 0164141223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics