Provider Demographics
NPI:1376671578
Name:EURICH, DAVID LEE (DDS)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:LEE
Last Name:EURICH
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 675
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76241-0675
Mailing Address - Country:US
Mailing Address - Phone:940-665-0726
Mailing Address - Fax:940-665-0618
Practice Address - Street 1:301 E CALIFORNIA ST
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:TX
Practice Address - Zip Code:76240-4005
Practice Address - Country:US
Practice Address - Phone:940-665-0726
Practice Address - Fax:940-665-0618
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX175591223G0001X
CA263851223G0001X
CO79131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice