Provider Demographics
NPI:1821199019
Name:EULER, SAM J (DDS)
Entity Type:Individual
Prefix:DR
First Name:SAM
Middle Name:J
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 1:8600 UNIVERSITY BLVD
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47712-3534
Mailing Address - Country:US
Mailing Address - Phone:812-464-1706
Mailing Address - Fax:
Practice Address - Street 1:2900 LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47714-1727
Practice Address - Country:US
Practice Address - Phone:812-477-2122
Practice Address - Fax:812-477-4773
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2015-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN120073391223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN351396616Medicaid