Provider Demographics
NPI:1063607935
Name:GIROUX, EMILY C (DDS)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:C
Last Name:GIROUX
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:CARTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:G3375 S SAGINAW ST
Mailing Address - Street 2:
Mailing Address - City:BURTON
Mailing Address - State:MI
Mailing Address - Zip Code:48529-1277
Mailing Address - Country:US
Mailing Address - Phone:810-743-6830
Mailing Address - Fax:810-743-7086
Practice Address - Street 1:225 E 5TH ST
Practice Address - Street 2:SUITE 300
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48502-1641
Practice Address - Country:US
Practice Address - Phone:810-406-4246
Practice Address - Fax:810-424-6029
Is Sole Proprietor?:No
Enumeration Date:2007-09-13
Last Update Date:2021-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901019593122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist