Dr Clinton Wilkinson Evans, MD, DMD | |
216 Healthwest Dr, Dothan, AL 36303-1942 | |
(334) 792-1158 | |
(334) 702-6983 |
Full Name | Dr Clinton Wilkinson Evans |
---|---|
Gender | Male |
Speciality | Maxillofacial Surgery |
Experience | 31 Years |
Location | 216 Healthwest Dr, Dothan, Alabama |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093799009 | NPI | - | NPPES |
000095652 | Medicaid | AL | |
51097740 | Other | AL | BCBSAL ENTERPRISE OFFICE |
51095652 | Other | AL | BCBSAL DOTHAN OFFICE |
766464 | Other | AL | UNITED CONCORDIA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 22785 (Alabama) | Secondary |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 4563 (Alabama) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southeastern Oral-maxillofacial And Cosmetic Surgery Center | 0042283863 | 3 |
Entity Name | Southeastern Oral-maxillofacial And Cosmetic Surgery Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275755860 PECOS PAC ID: 0042283863 Enrollment ID: O20040818001035 |
Mailing Address | Practice Location Address |
---|---|
Dr Clinton Wilkinson Evans, MD, DMD 35 Hampton Way, Dothan, AL 36305-6319 Ph: (334) 792-1158 | Dr Clinton Wilkinson Evans, MD, DMD 216 Healthwest Dr, Dothan, AL 36303-1942 Ph: (334) 792-1158 |
David Alva Dauphin, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 318 Westgate Parkway, Suite 1, Dothan, AL 36303 Phone: 334-794-3727 Fax: 334-712-9329 | |
Dr. Hashim J Hassan, BDS,DMD,MSD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1801 W Main St, Suite 1, Dothan, AL 36301 Phone: 334-793-9885 Fax: 334-678-7715 | |
Daniel M Pittman Iii, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 103 Medical Dr, Dothan, AL 36303 Phone: 334-793-7232 Fax: 334-712-7720 | |
Dr. Clayton L Wright, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2601 Murphy Mill Rd, Dothan, AL 36303 Phone: 334-793-9888 Fax: 334-793-7730 | |
Brooke Parker Bell, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2001 Alexander Dr, Dothan, AL 36301 Phone: 334-686-0843 | |
Dr. Michelle N Griffith, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 5412 Montgomery Hwy, Suite 3-8, Dothan, AL 36303 Phone: 334-983-1730 |