Organization
ALAN B. EVANS D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN BLAKE EVANS D.D.S (DENTIST)
(563) 264-1180
Entity
Organization
Contact information
Practice address
1612 PLAZA PL, MUSCATINE, IA 52761-5364
(563) 264-1180
(563) 288-2776
Mailing address
1612 PLAZA PL, MUSCATINE, IA 52761-5364
(563) 264-1180
(563) 288-2776
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
07985
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1472182
UNITED CONCORDIA
—
05
—
2191080
—
IA
Enumeration date
05/15/2008
Last updated
05/15/2008
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