Provider Demographics
NPI:1215314240
Name:BEAVERCREEK ENDODONTICS- EMILY LAMMERS DDS MS INC.
Entity type:Organization
Organization Name:BEAVERCREEK ENDODONTICS- EMILY LAMMERS DDS MS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, ENDODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMMERS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:614-565-6556
Mailing Address - Street 1:1555 MARSETTA DR
Mailing Address - Street 2:
Mailing Address - City:BEAVERCREEK
Mailing Address - State:OH
Mailing Address - Zip Code:45432-2732
Mailing Address - Country:US
Mailing Address - Phone:937-426-7611
Mailing Address - Fax:937-426-4331
Practice Address - Street 1:1555 MARSETTA DR
Practice Address - Street 2:
Practice Address - City:BEAVERCREEK
Practice Address - State:OH
Practice Address - Zip Code:45432-2732
Practice Address - Country:US
Practice Address - Phone:937-426-7611
Practice Address - Fax:937-426-4331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-28
Last Update Date:2015-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.0232781223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty