Chris Evanov in Lakewood - Endodontics

Chris Evanov - NPI 1144287822

Chris Evanov is a Endodontics in Lakewood, Washington. Chris Evanov practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Chris Evanov is 1144287822. The last update date is 2014-01-15.

Chris Evanov's current location address is 10904 Gravelly Lake Dr Sw, Lakewood, Washington. You can contact this provider via phone number 2535893636 and fax number 2535893177. The mailing address for Chris Evanov is 10904 Gravelly Lake Dr Sw, Lakewood, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Chris Evanov
Address 10904 Gravelly Lake Dr Sw, Lakewood, Washington
Phone Number 2535893636
Fax Number 2535893177
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1144287822
Provider Enumeration Date 2006-04-27
Last Updated Date 2014-01-15

Provider Mailing Address Detail

Address 10904 Gravelly Lake Dr Sw
City Lakewood
State Washington (WA)
Post Code 984991330
Phone Number 2535893636
Fax Number 2535893177

Provider's Primary Taxonomy Detail

Speciality Endodontics
Taxonomy 1223E0200X
Licence No DE60095117
Definition:
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti

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FAQs about Chris Evanov

What is the unique provider identifier assigned to Chris Evanov?

The Chris Evanov has been issued the NPI (National Provider Identifier) 1144287822 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Chris Evanov's facilities are geographically located?

The facilities of Chris Evanov are physically situated at the following location: 10904 Gravelly Lake Dr Sw, Lakewood, WA, 984991330.

What is Chris Evanov's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Chris Evanov is Endodontics, and the taxonomy classification code that categorizes this area of expertise is 1223E0200X.

On what date did the Chris Evanov receive the assignment of its 1144287822 from the Centers for Medicare & Medicaid Services?

The Chris Evanov was issued its 1144287822 by the Centers for Medicare & Medicaid Services on 2006-04-27.

When was the information regarding Chris Evanov, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Chris Evanov, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-01-15.

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