Organization
RICHARD A. EVANSECK, DDS,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD ANDREW EVANSECK DDS (DENTIST)
(765) 664-2115
Entity
Organization
Contact information
Practice address
1007 N WESTERN AVE, MARION, IN 46952-2503
(765) 664-2115
(765) 664-2124
Mailing address
1007 N WESTERN AVE, MARION, IN 46952-2503
(765) 664-2115
(765) 664-2124
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009660
IN
Other
Enumeration date
08/05/2006
Last updated
08/22/2020
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