Dr. G. Randall Evans, D.D.S., F.A.G.D.
Dentist, General Practice in Greenville, TX. Organization (NPI-2).
NPI number1013294792
StatusActive
Last updated in NPPESNov 9, 2011
Details
- NPI
- 1013294792
- Entity type
- Organization (NPI-2)
- Legal business name
- Dr. G. Randall Evans, D.D.S., F.A.G.D.
- Organization subpart
- No
- Enumeration date
- Nov 9, 2011
- Last updated
- Nov 9, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 11800 | TX | Yes |
| 1223G0001X | Dentist, General Practice | 21548 | TX |
Practice location
4319 Ridgecrest RdGreenville, TX 75402-6004
Phone 903-454-0918 · Fax 903-454-7540
Mailing address
4319 Ridgecrest RdGreenville, TX 75402-6004
Phone 903-454-0918 · Fax 903-454-7540
Authorized official
Gary Randall Evans
Owner
9034540918
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