| Bennie C. Evans,d.d.s.,p.c. | |
|
210 Addavale St Griffin GA 30224-4217 | |
| (770) 229-1490 | |
| (770) 229-4929 |
| Full Name | Bennie C. Evans,d.d.s.,p.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 210 Addavale St, Griffin, Georgia |
| Authorized Official Name and Position | Bennie Cleveland Evans (DENTIST/OWNER) |
| Authorized Official Contact | 7702291490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bennie C. Evans,d.d.s.,p.c. 210 Addavale St Griffin GA 30224-4217 Ph: (770) 229-1490 | Bennie C. Evans,d.d.s.,p.c. 210 Addavale St Griffin GA 30224-4217 Ph: (770) 229-1490 |
| NPI Number | 1093819591 |
|---|---|
| Provider Enumeration Date | 09/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093819591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8495 (Georgia) | Primary |
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