| William R. Evans, Dds, Apc | |
|
16635 Centerfield Dr Suite 205 Eagle River AK 99577-7719 | |
| (907) 694-5150 | |
| (907) 694-1317 |
| Full Name | William R. Evans, Dds, Apc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 16635 Centerfield Dr, Eagle River, Alaska |
| Authorized Official Name and Position | William R Evans (PRESIDENT) |
| Authorized Official Contact | 9076945150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William R. Evans, Dds, Apc 16635 Centerfield Dr Suite 205 Eagle River AK 99577-7719 Ph: (907) 694-5150 | William R. Evans, Dds, Apc 16635 Centerfield Dr Suite 205 Eagle River AK 99577-7719 Ph: (907) 694-5150 |
| NPI Number | 1083760896 |
|---|---|
| Provider Enumeration Date | 01/25/2007 |
| Last Update Date | 02/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083760896 | NPI | - | NPPES |
| DD0555 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 555 (Alaska) | Primary |
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