Provider Demographics
NPI:1194887190
Name:EMERY, ROBERT ERIC (DDS)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ERIC
Last Name:EMERY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2901 DOUGHERTY FERRY RD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63122-3368
Mailing Address - Country:US
Mailing Address - Phone:314-821-7100
Mailing Address - Fax:636-825-7568
Practice Address - Street 1:2901 DOUGHERTY FERRY RD
Practice Address - Street 2:SUITE 400
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63122-3368
Practice Address - Country:US
Practice Address - Phone:314-821-7100
Practice Address - Fax:636-825-7568
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-15
Last Update Date:2014-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0144941223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice