Eron J Evans Dds, Pa in Pocatello - General Practice
Eron J Evans Dds, Pa - NPI 1508031071
Eron J Evans Dds, Pa is a General Practice in Pocatello, Idaho. Eron J Evans Dds, Pa practices all healthcare services and medical treatments related to General Practice. The NPI Number for Eron J Evans Dds, Pa is 1508031071. The last update date is 2008-04-25.
Eron J Evans Dds, Pa's current location address is 2010 Flandro Dr, Pocatello, Idaho. You can contact this provider via phone number 2082380600. The mailing address for Eron J Evans Dds, Pa is 2010 Flandro Dr, Pocatello, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Eron J Evans Dds, Pa |
|---|---|
| Address | 2010 Flandro Dr, Pocatello, Idaho |
| Phone Number | 2082380600 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Evans J. Eron |
| Credentials | DDS, PA |
| Telephone Number | 2082380600 |
NPI Number Detail
| NPI Number | 1508031071 |
|---|---|
| Provider Enumeration Date | 2008-04-25 |
| Last Updated Date | 2008-04-25 |
Provider Mailing Address Detail
| Address | 2010 Flandro Dr |
|---|---|
| City | Pocatello |
| State | Idaho (ID) |
| Post Code | 832021947 |
| Phone Number | 2082380600 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D-3891 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 807673600 | ID | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Eron J Evans Dds, Pa by the Centers for Medicare & Medicaid Services?
The Eron J Evans Dds, Pa has been assigned the NPI (National Provider Identifier) 1508031071. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Eron J Evans Dds, Pa's facilities are geographically located?
The facilities of Eron J Evans Dds, Pa are physically situated at the following location: 2010 Flandro Dr, Pocatello, ID, 832021947.
What is Eron J Evans Dds, Pa's area of expertise and its corresponding taxonomy classification?
The Eron J Evans Dds, Pa's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1508031071 assigned to Eron J Evans Dds, Pa?
The Eron J Evans Dds, Pa was issued its 1508031071 on 2008-04-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Eron J Evans Dds, Pa most recently updated or revised?
The information pertaining to Eron J Evans Dds, Pa, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-25.