| Dr. G. Randall Evans, D.d.s., F.a.g.d. | |
|
4319 Ridgecrest Rd Greenville TX 75402-6004 | |
| (903) 454-0918 | |
| (903) 454-7540 |
| Full Name | Dr. G. Randall Evans, D.d.s., F.a.g.d. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4319 Ridgecrest Rd, Greenville, Texas |
| Authorized Official Name and Position | Gary Randall Evans (OWNER) |
| Authorized Official Contact | 9034540918 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. G. Randall Evans, D.d.s., F.a.g.d. 4319 Ridgecrest Rd Greenville TX 75402-6004 Ph: (903) 454-0918 | Dr. G. Randall Evans, D.d.s., F.a.g.d. 4319 Ridgecrest Rd Greenville TX 75402-6004 Ph: (903) 454-0918 |
| NPI Number | 1013294792 |
|---|---|
| Provider Enumeration Date | 11/09/2011 |
| Last Update Date | 11/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013294792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 11800 (Texas) | Primary |
| 1223G0001X | Dentist - General Practice | 21548 (Texas) | Secondary |
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