Provider Demographics
NPI:1013445659
Name:TORBECK, ERINN MICHELLE (DMD)
Entity Type:Individual
Prefix:
First Name:ERINN
Middle Name:MICHELLE
Last Name:TORBECK
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2608 BURLINGTON PIKE
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:41005-9562
Mailing Address - Country:US
Mailing Address - Phone:595-867-9008
Mailing Address - Fax:859-586-7931
Practice Address - Street 1:2608 BURLINGTON PIKE
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:KY
Practice Address - Zip Code:41005-9562
Practice Address - Country:US
Practice Address - Phone:859-586-7900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-26
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY9856122300000X, 1223G0001X
OH30025121122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist