Whalio Doctors

NPI 1013294792

Dr. G. Randall Evans, D.D.S., F.A.G.D.

Organisation General Practice Dentistry Greenville, TX

Practice location

Address
4319 Ridgecrest Rd, Greenville, TX 75402-6004
Phone
(903) 454-0918
Fax
(903) 454-7540

Authorised official

Name
Gary Randall Evans
Title
Owner
Phone
(903) 454-0918

Registered specialties (2)

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence 11800 (TX)
General Practice Dentistry
Dental Providers Taxonomy 1223G0001X Licence 21548 (TX)

Registry record

NPI
1013294792
Entity type
Organization
NPI issued
9 Nov 2011
Record last updated
9 Nov 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.