Individual
PHILIP EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
210 HOSPITAL CIR, CHOCTAW, MS 39350-6781
(601) 656-2211
Mailing address
210 HOSPITAL CIR, CHOCTAW, MS 39350-6781
(601) 656-2211
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
269892
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00127324
—
MS
Enumeration date
10/26/2006
Last updated
02/20/2014
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