| Gregory D. Evans Dds Pc | |
|
1220 Oak Park Dr Fort Collins CO 80525-7302 | |
| (970) 407-1020 | |
| (970) 454-5436 |
| Full Name | Gregory D. Evans Dds Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1220 Oak Park Dr, Fort Collins, Colorado |
| Authorized Official Name and Position | Stacey E Evans (OFFICE MANAGER) |
| Authorized Official Contact | 9704071020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory D. Evans Dds Pc 3221 Eastbrook Drive A-101 Fort Collins CO 80525 Ph: (970) 407-1020 | Gregory D. Evans Dds Pc 1220 Oak Park Dr Fort Collins CO 80525-7302 Ph: (970) 407-1020 |
| NPI Number | 1912167172 |
|---|---|
| Provider Enumeration Date | 06/11/2008 |
| Last Update Date | 05/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912167172 | NPI | - | NPPES |
| 79155260 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 7679 (Colorado) | Primary |
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