| Forest L. Evans, D.d.s., P. A. | |
|
101 Harris St. Box 531 Bishopville SC 29010-0531 | |
| (803) 484-6041 | |
| (803) 484-6514 |
| Full Name | Forest L. Evans, D.d.s., P. A. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 101 Harris St., Bishopville, South Carolina |
| Authorized Official Name and Position | Dora B. Evans (P.A. SECRETARY) |
| Authorized Official Contact | 8034846041 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forest L. Evans, D.d.s., P. A. Po Box 531 101 Harris St. Bishopville SC 29010-0531 Ph: (803) 484-6041 | Forest L. Evans, D.d.s., P. A. 101 Harris St. Box 531 Bishopville SC 29010-0531 Ph: (803) 484-6041 |
| NPI Number | 1548303373 |
|---|---|
| Provider Enumeration Date | 02/14/2007 |
| Last Update Date | 07/17/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548303373 | NPI | - | NPPES |
| ZA 9699 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1623 (South Carolina) | Primary |
Caresouth Carolina, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Harris St, Bishopville, SC 29010 Phone: 803-588-7940 Fax: 803-588-7945 | |
Map - Bishopville, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Harris St, Bishopville, SC 29010 Phone: 803-484-6041 Fax: 803-484-6041 |