| Eron J Evans Dds, Pa | |
|
2010 Flandro Dr Pocatello ID 83202-1947 | |
| (208) 238-0600 | |
| Not Available |
| Full Name | Eron J Evans Dds, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2010 Flandro Dr, Pocatello, Idaho |
| Authorized Official Name and Position | Eron J. Evans (PRESIDENT) |
| Authorized Official Contact | 2082380600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eron J Evans Dds, Pa 2010 Flandro Dr Pocatello ID 83202-1947 Ph: (208) 238-0600 | Eron J Evans Dds, Pa 2010 Flandro Dr Pocatello ID 83202-1947 Ph: (208) 238-0600 |
| NPI Number | 1508031071 |
|---|---|
| Provider Enumeration Date | 04/25/2008 |
| Last Update Date | 04/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508031071 | NPI | - | NPPES |
| 807673600 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D-3891 (Idaho) | Primary |
Id Specialty Dental Services, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 625 E Alameda Rd, Pocatello, ID 83201 Phone: 208-237-0005 | |
Monte Page Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 135 Warren Ave, Pocatello, ID 83201 Phone: 208-237-6453 Fax: 208-233-4227 | |
Chris Hansen Dmd Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 W Cedar St, Pocatello, ID 83201 Phone: 208-233-5362 Fax: 208-234-8056 | |
Desert Valley Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 716 Yellowstone Ave, Pocatello, ID 83201 Phone: 208-478-1295 Fax: 208-232-5490 | |
Larsen Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 950 Hospital Way, Suite B, Pocatello, ID 83201 Phone: 208-233-7007 Fax: 208-233-2512 | |
Valley Dental Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 716 Yellowstone Ave, Pocatello, ID 83201 Phone: 208-478-5437 Fax: 208-232-5490 | |
Fellows Family Dental - Ad Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1598 Delphic Way Ste B, Pocatello, ID 83201 Phone: 208-237-4357 Fax: 208-237-1418 |