Individual
AMY EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
11711 N PENNSYLVANIA ST, SUITE 114, CARMEL, IN 46032-6959
(317) 816-0841
(317) 816-0859
Mailing address
11711 N PENNSYLVANIA ST, SUITE 114, CARMEL, IN 46032-6959
(317) 816-0841
(317) 816-0859
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010149
IN
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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