Gregory D. Evans Dds Pc

LBN: Gregory D. Evans Dds Pc
Gregory D. Evans Dds Pc is an health care organization with primary practice located at 1220 Oak Park Dr , Fort Collins CO 80525-7302. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Gregory D. Evans Dds Pc can be contacted via phone (970) 407-1020, or through Evans, Stacey E via phone (970) 407-1020.

Contact Information

Primary practice address
1220 Oak Park Dr Fort Collins CO 80525-7302
Phone: (970) 407-1020
Fax: (970) 454-5436
Website:
Map and Directions
Authorized official contact:
Name: Evans, Stacey E
Phone: (970) 407-1020

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 7679 Colorado

Profile Details

NPI number 1912167172
LBN Legal business name Gregory D. Evans Dds Pc
DBA Doing business as
Authorized official Evans, Stacey E
Entity Organization
Organization subpart 1 No
Enumeration date Jun 11th, 2008
Last updated May 25th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912167172 NPPES
Colorado MEDICAID 79155260

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