Marius A Evans Dds Pc in St Louis - Dentist
Marius A Evans Dds Pc - NPI 1689731192
Marius A Evans Dds Pc is a Dentist in St Louis, Missouri. Marius A Evans Dds Pc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Marius A Evans Dds Pc is 1689731192. The last update date is 2014-03-27.
Marius A Evans Dds Pc's current location address is 9911 Kennerly Rd, St Louis, Missouri. You can contact this provider via phone number 3148490999 and fax number 3148491385. The mailing address for Marius A Evans Dds Pc is 9911 Kennerly Rd, St Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Marius A Evans Dds Pc |
|---|---|
| Address | 9911 Kennerly Rd, St Louis, Missouri |
| Phone Number | 3148490999 |
| Fax Number | 3148491385 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST |
|---|---|
| Authorized Official Name | Evans A Marius |
| Credentials | DDS |
| Telephone Number | 3148490999 |
NPI Number Detail
| NPI Number | 1689731192 |
|---|---|
| Provider Enumeration Date | 2007-01-03 |
| Last Updated Date | 2014-03-27 |
Provider Mailing Address Detail
| Address | 9911 Kennerly Rd |
|---|---|
| City | St Louis |
| State | Missouri (MO) |
| Post Code | 63128 |
| Phone Number | 3148490999 |
| Fax Number | 3148491385 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DE015685 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the Marius A Evans Dds Pc's unique identification number?
The Marius A Evans Dds Pc has been assigned the NPI (National Provider Identifier) Number 1689731192 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Marius A Evans Dds Pc is physically located?
The Marius A Evans Dds Pc is physically situated at the following address: 9911 Kennerly Rd, St Louis, MO, 63128.
What is the Marius A Evans Dds Pc's specialty and taxonomy code?
The Marius A Evans Dds Pc's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
When did Marius A Evans Dds Pc receive its 1689731192 assignment?
The Marius A Evans Dds Pc was assigned its 1689731192 on 2007-01-03, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Marius A Evans Dds Pc most recently updated or revised?
The details related to Marius A Evans Dds Pc, including its address, specialty, and other relevant information, were last updated or revised on 2014-03-27.