Organization
JAMES G. EVANS D.D.S., INC.
Active
Other names
Triad Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES GLENNON EVANS D.D.S. (DENTIST)
(636) 441-7440
Entity
Organization
Contact information
Practice address
1400 TRIAD CENTER DR, SAINT PETERS, MO 63376-7351
(636) 441-7440
(636) 441-9594
Mailing address
1400 TRIAD CENTER DR, SAINT PETERS, MO 63376-7351
(636) 441-7440
(636) 441-9594
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
013030
MO
Other
Enumeration date
03/28/2007
Last updated
08/22/2020
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