DR. SAMUEL GENE EVANS JR. (NPI# 1710127022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710127022 |
Entity Type | Individual |
Full Name | DR. SAMUEL GENE EVANS JR. |
Credential | DDS |
Practice Address |
304 Iona St Fairmont NC 28340-1618 |
Practice Telephone | 9106287166 |
Practice Fax Number | 9106827167 |
Mailing Telephone | 9106287166 |
Mailing Fax Number | 9106827167 |
Enumeration Date | 2009-02-26 |
Last Update Date | 2009-02-26 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122300000X | Dentist | 5286 | NC | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396225298 | Samuel Ray Evans | Counselor | 1135 Cedar Shoals Dr Ste B, Athens, GA 30605-5299 | 2018-08-20 |
1437595980 | Samuel L. Evans | Nurse Practitioner | 311 E Clifty Dr, Madison, IN 47250-4621 | 2013-05-10 |
1407197684 | Samuel Charles Evans | Family Medicine | 181 N Kentucky Ave Ste 100, West Plains, MO 65775-2092 | 2013-03-12 |
1508029356 | Samuel K Evans | Internal Medicine | 593 Eddy St, Apc 7, Providence, RI 02903-4923 | 2008-07-02 |
1710194998 | Samuel Evans | Licensed Practical Nurse | 175 Philpot Lane, Beaver, WV 25813 | 2007-05-17 |
1063581932 | Samuel Dixie Evans | Obstetrics & Gynecology | 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 | 2006-11-07 |
1992744452 | Samuel J Evans | Internal Medicine | 2230 Liliha St, Critical Care Dept., Honolulu, HI 96817-1646 | 2006-06-06 |
Street Address |
304 IONA ST |
City | FAIRMONT |
State | NC |
Zip Code | 28340-1618 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598800039 | Fairmont Dental Inc | Dentist | 304 Iona St, Fairmont, NC 28340-1618 | 2007-02-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023250347 | Independent Community-based Services LLC | Home Health | 107 N Morro St., Fairmont, NC 28340 | 2009-04-01 |
1801960083 | Greenbrier Ltc Inc | Assisted Living Facility | 703 South Walnut St, Fairmont, NC 28340 | 2006-11-20 |
1275969487 | Robeson Health Care Corporation | Pharmacy | 1212 S Walnut St, Fairmont, NC 28340 | 2013-09-19 |
1033221130 | Jeffrey Lemont Hunter | Counselor | 314 S Main St, Fairmont, NC 28340 | 2006-08-31 |
1912924648 | Danny Cox | Durable Medical Equipment & Medical Supplies | 234 S Main St, Homecare Medical Products, Fairmont, NC 28340 | 2006-07-17 |
1417914722 | Robeson Health Care Corporation | Counselor | 1212 S Walnut St, Fairmont, NC 28340 | 2006-04-28 |
1952768426 | Latanya Breeden | Adult Companion | 609 Martin Luther King Dr, Fairmont, NC 28340-1311 | 2016-01-28 |
1033252440 | Stephens Outreach Center, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 608a Martin Luther King Dr, Fairmont, NC 28340-1312 | 2007-02-15 |
1629027842 | James Clifton Herring Jr. | Optometrist | 1516 Alexander St, Fairmont, NC 28340-1406 | 2006-05-06 |
1225142391 | Sean Brian Woken | Chiropractor | 208 Iona St, Fairmont, NC 28340-1616 | 2006-08-18 |
Find all providers in zip 28340 |
Taxonomy Code | 122300000X |
Grouping | Dental Providers |
Classification | Dentist |
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720468614 | Kurt Daniel Erickson | Dentist | 1950 Center Creek Dr Ste 200, Fairmont, MN 56031-3430 | 2015-06-04 |
1689054801 | Mackenzie Elizabeth Boyles-horan | Dentist | 1315 Morgantown Ave, Fairmont, WV 26554-4505 | 2015-06-03 |
1255615209 | Jennifer H. Mcbee Dds Pllc | Dentist | 1836 Locust Ave, Suite 2, Fairmont, WV 26554-1286 | 2011-10-07 |
1962733154 | Heather Jean Ayers | Dentist | 189 Circle Dr, Fairmont, WV 26554-1455 | 2010-01-27 |
1235299314 | Franklin David Bonasso | Dentist | 100 Greenbrier Plaza, Fairmont, WV 26554 | 2006-12-11 |
1750469011 | Ronald John Croteau | Dentist | 1207 Morgantown Avenue, Fairmont, WV 26554-4503 | 2006-11-02 |
1114002375 | P Ronald Graziani Dds Ltd | Dentist | 315 First St, Fairmont, WV 26554-2802 | 2006-10-26 |
1184707580 | Douglas Clark Hannah | Dentist | 1520 Country Club Rd, Fairmont, WV 26554 | 2006-10-23 |
1598851958 | Michael F Trent & Michael J Meador Dds Inc | Dentist | 403 Virginia Ave, Fairmont, WV 26554 | 2006-10-05 |
1023109592 | Kenny H Koay | Dentist | 17 Oakwood Rd, Fairmont, WV 26554-2453 | 2006-09-27 |
Find all providers in FAIRMONT |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.