| Randolph Evans Family Dentistry | |
|
22 Sierra Dr Martinsburg WV 25403-1133 | |
| (304) 263-3131 | |
| Not Available |
| Full Name | Randolph Evans Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 22 Sierra Dr, Martinsburg, West Virginia |
| Authorized Official Name and Position | Randolph Evans (DENTIST/OWNER) |
| Authorized Official Contact | 3042633131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Randolph Evans Family Dentistry 23 Litchfield Ln E Martinsburg WV 25405-9644 Ph: (304) 203-8956 | Randolph Evans Family Dentistry 22 Sierra Dr Martinsburg WV 25403-1133 Ph: (304) 263-3131 |
| NPI Number | 1356725428 |
|---|---|
| Provider Enumeration Date | 07/17/2015 |
| Last Update Date | 07/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356725428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 4175 (West Virginia) | Primary |
William F. Queen, Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 902 N Queen St, Martinsburg, WV 25404 Phone: 304-263-6568 Fax: 304-267-7183 | |
Donald E. Patthoff Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Foxcroft Ave Ste 302, Martinsburg, WV 25401 Phone: 304-263-0411 | |