Organization
ENNIS DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVERETT C EVANS (DDS, OWNER)
(940) 808-1970
Entity
Organization
Contact information
Practice address
1012 E ENNIS AVE, SUITE C, ENNIS, TX 75119-4345
(972) 875-2501
Mailing address
3600 E MCKINNEY ST, 100, DENTON, TX 76209-7557
(940) 808-1970
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23695
TX
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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