Provider Demographics
NPI:1831114214
Name:LIN, EUGER (DMD, FRCD(C))
Entity Type:Individual
Prefix:DR
First Name:EUGER
Middle Name:
Last Name:LIN
Suffix:
Gender:M
Credentials:DMD, FRCD(C)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:431 LAKESIDE AVE
Mailing Address - Street 2:
Mailing Address - City:MARLBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01752-1979
Mailing Address - Country:US
Mailing Address - Phone:508-485-5575
Mailing Address - Fax:
Practice Address - Street 1:431 LAKESIDE AVE
Practice Address - Street 2:
Practice Address - City:MARLBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01752-1979
Practice Address - Country:US
Practice Address - Phone:508-485-5575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2020-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA215551223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery