| Nacogdoches Dental Pllc | |
|
4610 North St Nacogdoches TX 75965-1840 | |
| (936) 560-0900 | |
| Not Available |
| Full Name | Nacogdoches Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4610 North St, Nacogdoches, Texas |
| Authorized Official Name and Position | Everett C Evans (OWNER, DDS) |
| Authorized Official Contact | 9408081970 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nacogdoches Dental Pllc Po Box 674330 Dallas TX 75267-4330 Ph: (940) 808-1970 | Nacogdoches Dental Pllc 4610 North St Nacogdoches TX 75965-1840 Ph: (936) 560-0900 |
| NPI Number | 1700260957 |
|---|---|
| Provider Enumeration Date | 07/17/2015 |
| Last Update Date | 07/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700260957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 23695 (Texas) | Primary |
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