Provider Demographics
NPI:1568677821
Name:EURICH, STEVEN LYNN (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:LYNN
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 1:1120 W SOUTH BOULDER RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-8951
Mailing Address - Country:US
Mailing Address - Phone:303-666-4653
Mailing Address - Fax:720-890-8757
Practice Address - Street 1:1120 W SOUTH BOULDER RD
Practice Address - Street 2:SUITE 202
Practice Address - City:LAFAYETTE
Practice Address - State:CO
Practice Address - Zip Code:80026-8951
Practice Address - Country:US
Practice Address - Phone:303-666-4653
Practice Address - Fax:720-890-8757
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO105414122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist