Individual
DR. MARK D EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
315 LAMAR ST., MARYVILLE, TN 37804-5848
(865) 984-6191
(865) 379-7890
Mailing address
315 LAMAR ST., MARYVILLE, TN 37804-5848
(865) 984-6191
(865) 379-7890
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS6927
TN
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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