Provider Demographics
NPI:1164081907
Name:EULER, ANDREW LINUS (DDS)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:LINUS
Last Name:EULER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 513
Mailing Address - Street 2:
Mailing Address - City:WATHENA
Mailing Address - State:KS
Mailing Address - Zip Code:66090-0513
Mailing Address - Country:US
Mailing Address - Phone:816-752-1528
Mailing Address - Fax:
Practice Address - Street 1:2401 FREDERICK AVE
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64506-2727
Practice Address - Country:US
Practice Address - Phone:816-279-0514
Practice Address - Fax:816-279-1524
Is Sole Proprietor?:No
Enumeration Date:2019-06-06
Last Update Date:2019-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20190184481223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice