Organization
KENNETH EVINS DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH EARL EVINS D.M.D. (PRESIDENT)
(919) 693-1880
Entity
Organization
Contact information
Practice address
304 HILLSBORO ST STE G, OXFORD, NC 27565-3274
(919) 693-1880
Mailing address
PO BOX 86, 304 G HILLSBORO STREET, OXFORD, NC 27565-0086
(919) 693-1880
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4636
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8992553
—
NC
Enumeration date
01/08/2007
Last updated
08/22/2020
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