# KENNETH EVINS DMD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316095789
- **Authorized official:** DR. KENNETH EARL EVINS D.M.D. (PRESIDENT)
- **Authorized official phone:** (919) 693-1880

## Contact information

- **Practice address:** 304 HILLSBORO ST STE G, OXFORD, NC 27565-3274
- **Practice address phone:** (919) 693-1880
- **Mailing address:** PO BOX 86, 304 G HILLSBORO STREET, OXFORD, NC 27565-0086
- **Mailing address phone:** (919) 693-1880

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4636 | NC | Yes |

## Other

- **Enumeration date:** 01/08/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 8992553 | — | NC |