Individual
JASON NEIL EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
25 RED JACKET ST, DANSVILLE, NY 14437-9517
(585) 335-2201
(585) 335-7243
Mailing address
25 RED JACKET ST, DANSVILLE, NY 14437-9517
(585) 335-2201
(585) 335-7243
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
046765-1
NY
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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