| John Richard Evans, DDS | |
|
1959 Ne Pacific St, B241 Hsb, Seattle, WA 98195-7134 | |
| (206) 534-7722 | |
| (206) 685-7222 |
| Full Name | John Richard Evans |
|---|---|
| Gender | Male |
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1959 Ne Pacific St, Seattle, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437248655 | NPI | - | NPPES |
| 5030838 | Medicaid | WA | |
| 0175769 | Other | WA | L&I |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DE00004613 (Washington) | Primary |
| Entity Name | UW School of Dentistry |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972676971 PECOS PAC ID: 3678948478 Enrollment ID: O20230410000896 |
| Mailing Address | Practice Location Address |
|---|---|
| John Richard Evans, DDS 1959 Ne Pacific St, Box 357131, Seattle, WA 98195-7131 Ph: Not Available | John Richard Evans, DDS 1959 Ne Pacific St, B241 Hsb, Seattle, WA 98195-7134 Ph: (206) 534-7722 |
Dr. Philip R Howard, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 4520 42nd Ave Sw Ste 23, Seattle, WA 98116 Phone: 206-938-1777 |
Dr. Katherine Michelle Sloan, DDS Dentist Medicare: Medicare Enrolled Practice Location: 6020 35th Ave Sw, Seattle, WA 98126 Phone: 206-461-6966 Fax: 206-461-6968 |
Dr. Tatyana Pihur, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2326 5th Ave, Seattle, WA 98121 Phone: 206-494-9050 |
Amelia Chim, Dentist Medicare: Not Enrolled in Medicare Practice Location: 4200 Mary Gates Memorial Dr Ne Apt U253, Seattle, WA 98105 Phone: 206-383-9338 |
Dr. Gabija Revis, DMD Dentist Medicare: Medicare Enrolled Practice Location: 10521 Meridian Ave N, Seattle, WA 98133 Phone: 206-296-4990 Fax: 206-517-5578 |
Ryan Guske, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 509 Olive Way Ste 1132, Seattle, WA 98101 Phone: 206-447-9397 |
Keelin Elisabeth Hurtt, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1959 Ne Pacific Street, Box 357134, Seattle, WA 98195 Phone: 860-917-5148 |