NPI 1083721211

Thomas William Evans, DDS

Practitioner Pediatric Dentistry Ottumwa, IA

Practice location

Address: 740 Pennsylvania Ave, Ottumwa, IA 52501-2152
Phone: (641) 683-1000

Registered specialties

Pediatric Dentistry Primary

Dental Providers Taxonomy 1223P0221X Licence 6354 (IA)

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Registry record

NPI: 1083721211
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Aug 2006
Record last updated: 9 Jul 2007

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.