Individual
DR. JAMES ROBERT EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5011 RIVERSIDE DR, DANVILLE, VA 24541-5642
(434) 822-0500
(434) 822-1330
Mailing address
118 STONEGATE WAY, DANVILLE, VA 24541-5576
(434) 799-0541
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401005352
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005148
ANTHEM
VA
01
—
12819
DORAL
VA
01
—
575810
UNITED CONCORDIA
VA
Enumeration date
04/02/2008
Last updated
04/02/2008
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