Individual
DR. WILLIAM R EVANS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
16635 CENTERFIELD DR, SUITE 205, EAGLE RIVER, AK 99577-7719
(907) 694-5150
(907) 694-1317
Mailing address
16635 CENTERFIELD DR, SUITE 205, EAGLE RIVER, AK 99577-7719
(907) 694-5150
(907) 694-1317
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
555
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DD0555
—
AK
Enumeration date
05/26/2010
Last updated
05/26/2010
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