| Michael Evanoff Dmd Pllc | |
|
1000 31st Ave Sw Minot ND 58701-7403 | |
| (701) 852-3222 | |
| (701) 852-2767 |
| Full Name | Michael Evanoff Dmd Pllc |
|---|---|
| Speciality | Dentist |
| Location | 1000 31st Ave Sw, Minot, North Dakota |
| Authorized Official Name and Position | Mari Domini Aberle (OFFICE MANAGER) |
| Authorized Official Contact | 7018523222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Evanoff Dmd Pllc 1000 31st Ave Sw Minot ND 58701-7403 Ph: (701) 852-3222 | Michael Evanoff Dmd Pllc 1000 31st Ave Sw Minot ND 58701-7403 Ph: (701) 852-3222 |
| NPI Number | 1609630425 |
|---|---|
| Provider Enumeration Date | 02/12/2024 |
| Last Update Date | 03/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609630425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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