Organization
WILLIAM R. EVANS, DDS, APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM R EVANS DDS (PRESIDENT)
(907) 694-5150
Entity
Organization
Contact information
Practice address
16635 CENTERFIELD DR, SUITE 205, EAGLE RIVER, AK 99577-7719
(907) 694-5150
(907) 694-1317
Mailing address
16635 CENTERFIELD DR, SUITE 205, EAGLE RIVER, AK 99577-7719
(907) 694-5150
(907) 694-1317
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
555
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DD0555
—
AK
Enumeration date
01/25/2007
Last updated
02/17/2010
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