| Sally A. Evans Dmd Pc | |
|
819 Thompson Bridge Rd Gainesville GA 30501-1774 | |
| (770) 535-8900 | |
| (770) 535-8108 |
| Full Name | Sally A. Evans Dmd Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 819 Thompson Bridge Rd, Gainesville, Georgia |
| Authorized Official Name and Position | Sally Evans (OWNER) |
| Authorized Official Contact | 4073404304 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sally A. Evans Dmd Pc 819 Thompson Bridge Rd Gainesville GA 30501-1774 Ph: (770) 535-8900 | Sally A. Evans Dmd Pc 819 Thompson Bridge Rd Gainesville GA 30501-1774 Ph: (770) 535-8900 |
| NPI Number | 1215337951 |
|---|---|
| Provider Enumeration Date | 08/31/2014 |
| Last Update Date | 08/31/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215337951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DNO13552 (Georgia) | Primary |
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