Healthcare Provider Details

I. General information

NPI: 1306824479
Provider Name (Legal Business Name): GEORGE J EULER DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/09/2006
Last Update Date: 03/01/2022
Certification Date: 02/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1218NE WINDSOR DR
LEE'S SUMMIT MO
64086-2041
US

IV. Provider business mailing address

1000 NW INDIAN LN
RIVERSIDE MO
64150-9737
US

V. Phone/Fax

Practice location:
  • Phone: 847-809-7843
  • Fax:
Mailing address:
  • Phone: 847-809-7843
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number1592
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: