Healthcare Provider Details

I. General information

NPI: 1063607935
Provider Name (Legal Business Name): EMILY C GIROUX DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILY CARTER DDS

II. Dates (important events)

Enumeration Date: 09/13/2007
Last Update Date: 01/08/2021
Certification Date: 01/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 E 5TH ST SUITE 300
FLINT MI
48502-1641
US

IV. Provider business mailing address

G3375 S SAGINAW ST
BURTON MI
48529-1277
US

V. Phone/Fax

Practice location:
  • Phone: 810-406-4246
  • Fax: 810-424-6029
Mailing address:
  • Phone: 810-743-6830
  • Fax: 810-743-7086

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number2901019593
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number2901019593
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: