| Beau Evans Family Dentistry Pllc | |
|
202 S 6th St Henryetta OK 74437-5002 | |
| (918) 652-4404 | |
| (918) 652-4445 |
| Full Name | Beau Evans Family Dentistry Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 202 S 6th St, Henryetta, Oklahoma |
| Authorized Official Name and Position | Beau Barker Evans (DENTIST/OWNER) |
| Authorized Official Contact | 9186524404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beau Evans Family Dentistry Pllc 202 S 6th St Henryetta OK 74437-5002 Ph: (918) 652-4404 | Beau Evans Family Dentistry Pllc 202 S 6th St Henryetta OK 74437-5002 Ph: (918) 652-4404 |
| NPI Number | 1861814295 |
|---|---|
| Provider Enumeration Date | 01/21/2014 |
| Last Update Date | 01/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861814295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6188 (Oklahoma) | Primary |
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