Gary Randall Evans in Greenville - Dentist

Gary Randall Evans - NPI 1568555779

Gary Randall Evans is a Dentist in Greenville, Texas. Gary Randall Evans practices all healthcare services and medical treatments related to Dentist. The NPI Number for Gary Randall Evans is 1568555779. The last update date is 2007-07-08.

Gary Randall Evans's current location address is 4319 Ridgecrest, Greenville, Texas. You can contact this provider via phone number 9034540918 and fax number 9034547540. The mailing address for Gary Randall Evans is 4319 Ridgecrest, Greenville, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Gary Randall Evans
Address 4319 Ridgecrest, Greenville, Texas
Phone Number 9034540918
Fax Number 9034547540
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1568555779
Provider Enumeration Date 2006-10-02
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4319 Ridgecrest
City Greenville
State Texas (TX)
Post Code 75402
Phone Number 9034540918
Fax Number 9034547540

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 11800
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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FAQs about Gary Randall Evans

What is the unique 10-digit identification code issued to Gary Randall Evans by the Centers for Medicare & Medicaid Services?

The Gary Randall Evans has been assigned the NPI (National Provider Identifier) 1568555779 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Gary Randall Evans is physically located?

The Gary Randall Evans is situated at the following address: 4319 Ridgecrest, Greenville, TX 75402.

What is Gary Randall Evans's specialized field of practice, and what is the corresponding taxonomy classification code?

The Gary Randall Evans's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.

On what date did Gary Randall Evans receive its 1568555779 assignment from the Centers for Medicare & Medicaid Services?

The Gary Randall Evans was assigned its 1568555779 on 2006-10-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Gary Randall Evans, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Gary Randall Evans, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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