Healthcare Provider Details

I. General information

NPI: 1366500167
Provider Name (Legal Business Name): MICHAEL UHRICH D.D.S., M.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: J MICHAEL UHRICH D.D.S.,M.S.

II. Dates (important events)

Enumeration Date: 12/05/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26300 EUCLID AVE #620
EUCLID OH
44132-3708
US

IV. Provider business mailing address

26300 EUCLID AVE #620
EUCLID OH
44132-3708
US

V. Phone/Fax

Practice location:
  • Phone: 216-261-6464
  • Fax: 216-261-6464
Mailing address:
  • Phone: 216-261-6464
  • Fax: 216-261-6464

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number30-015031
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: