Organization
MARK D EVANS DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HEATHER BRADLEY CLAYBORNE (FRONT OFFICE COORDINATOR)
(865) 984-6191
Entity
Organization
Contact information
Practice address
315 LAMAR STREET, 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
122300000X
Dentist
Primary
6927
TN
Other
Enumeration date
03/27/2008
Last updated
04/14/2008
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