Provider Demographics
NPI:1730296500
Name:EUERS, DAVID WAYNE (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:WAYNE
Last Name:EUERS
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 1:135 SLAUGHTER LN W
Mailing Address - Street 2:C
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78748-1726
Mailing Address - Country:US
Mailing Address - Phone:512-280-1117
Mailing Address - Fax:512-280-1885
Practice Address - Street 1:135 SLAUGHTER LN W
Practice Address - Street 2:C
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78748-1726
Practice Address - Country:US
Practice Address - Phone:512-280-1117
Practice Address - Fax:512-280-1885
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX140441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice