Provider Demographics
NPI:1922026921
Name:NEUER, ERIC S (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:S
Last Name:NEUER
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1904 DEL SIMMONS DR
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73003-2426
Mailing Address - Country:US
Mailing Address - Phone:816-803-6372
Mailing Address - Fax:913-393-3599
Practice Address - Street 1:11164 S NOBLE DR
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-7528
Practice Address - Country:US
Practice Address - Phone:913-393-9911
Practice Address - Fax:913-393-3599
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS601631223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics