| Richard A. Evanseck, Dds,pc | |
|
1007 N Western Ave Marion IN 46952-2503 | |
| (765) 664-2115 | |
| (765) 664-2124 |
| Full Name | Richard A. Evanseck, Dds,pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1007 N Western Ave, Marion, Indiana |
| Authorized Official Name and Position | Richard Andrew Evanseck (DENTIST) |
| Authorized Official Contact | 7656642115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard A. Evanseck, Dds,pc 1007 N Western Ave Marion IN 46952-2503 Ph: (765) 664-2115 | Richard A. Evanseck, Dds,pc 1007 N Western Ave Marion IN 46952-2503 Ph: (765) 664-2115 |
| NPI Number | 1922017169 |
|---|---|
| Provider Enumeration Date | 08/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922017169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12009660 (Indiana) | Primary |
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