Provider Demographics
NPI:1366500167
Name:UHRICH, MICHAEL (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:
Last Name:UHRICH
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:DR
Other - First Name:J
Other - Middle Name:MICHAEL
Other - Last Name:UHRICH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS,MS
Mailing Address - Street 1:26300 EUCLID AVE
Mailing Address - Street 2:#620
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44132-3708
Mailing Address - Country:US
Mailing Address - Phone:216-261-6464
Mailing Address - Fax:216-261-6464
Practice Address - Street 1:26300 EUCLID AVE
Practice Address - Street 2:#620
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44132-3708
Practice Address - Country:US
Practice Address - Phone:216-261-6464
Practice Address - Fax:216-261-6464
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-0150311223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics