Gregory A Evanoff Dds Pc | |
1000 31st Av Sw Minot ND 58701-6958 | |
(701) 852-3222 | |
(701) 852-2767 |
Full Name | Gregory A Evanoff Dds Pc |
---|---|
Speciality | Dentist |
Location | 1000 31st Av Sw, Minot, North Dakota |
Authorized Official Name and Position | Gregory A Evanoff (OWNER DENTIST) |
Authorized Official Contact | 7018523222 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gregory A Evanoff Dds Pc 1000 31st Av Sw Minot ND 58701-6958 Ph: (701) 852-3222 | Gregory A Evanoff Dds Pc 1000 31st Av Sw Minot ND 58701-6958 Ph: (701) 852-3222 |
NPI Number | 1619088770 |
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Provider Enumeration Date | 08/31/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619088770 | NPI | - | NPPES |
41289 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 1712 (North Dakota) | Primary |
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