| Gregory a Evanoff DDS PC | |
|
1000 31st Av Sw Minot ND 58701-6958 | |
| (701) 852-3222 | |
| (701) 852-2767 |
| Full Name | Gregory a Evanoff DDS PC |
|---|---|
| Speciality | Dentist |
| Location | 1000 31st Av Sw, Minot, North Dakota |
| Authorized Official Name and Position | Gregory a Evanoff (OWNER DENTIST) |
| Authorized Official Contact | 7018523222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory a Evanoff DDS PC 1000 31st Av Sw Minot ND 58701-6958 Ph: (701) 852-3222 | Gregory a Evanoff DDS PC 1000 31st Av Sw Minot ND 58701-6958 Ph: (701) 852-3222 |
| NPI Number | 1619088770 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619088770 | NPI | - | NPPES |
| 41289 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 1712 (North Dakota) | Primary |
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