Individual
MR. ERIK WILLIAM EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
222 PIEDMONT AVE, STE. 7300, CINCINNATI, OH 45219-2489
(513) 475-8787
(513) 475-7348
Mailing address
PO BOX 630579, CINCINNATI, OH 45263-0579
(513) 585-5506
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
20929
OH
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
30.020929
OH
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
35.087935
OH
208600000X
Surgery Physician
35.087935
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2666959
—
OH
Enumeration date
11/26/2006
Last updated
02/26/2018
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