Dr Samuel Gene Evans Jr, DDS is a
Dentist based in Fairmont, North Carolina. Dr Samuel Gene Evans Jr is licensed to practice in North Carolina (license number 5286) and his current practice location is
304 Iona St, Fairmont, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(910) 628-7166.
NPI number for Dr Samuel Gene Evans Jr is 1710127022 and his current mailing address is 304 Iona St, Fairmont, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1710127022.
Healthcare Provider's Profile
Full Name | Dr Samuel Gene Evans Jr |
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Gender | Male |
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Speciality | Dentist |
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Location | 304 Iona St, Fairmont, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1710127022
- Provider Enumeration Date: 02/26/2009
- Last Update Date: 02/26/2009
Medical Identifiers
Medical identifiers for Dr Samuel Gene Evans Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710127022 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 5286 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Samuel Gene Evans Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Samuel Gene Evans Jr, DDS 304 Iona St, Fairmont, NC 28340-1618 Ph: (910) 628-7166 | Dr Samuel Gene Evans Jr, DDS 304 Iona St, Fairmont, NC 28340-1618 Ph: (910) 628-7166 |
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