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SALLY A. EVANS DMD PC NPI 1215337951


NPI Information

NPI: 1215337951
Provider Name: SALLY A. EVANS DMD PC

Doing Business As: LAKE LANIER COSTMETIC INSTITUTE

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
819 THOMPSON BRIDGE RD
GAINESVILLE, GA
ZIP 30501
Phone: (770) 535-8900
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SALLY A. EVANS DMD PC is a dental clinic center in Gainesville, GA. SALLY A. EVANS DMD PC NPI is 1215337951. The provider is registered as an organization entity type.
The provider Is Doing Business As Lake Lanier Costmetic Institute.

The provider's business location address is:

819 THOMPSON BRIDGE RD
GAINESVILLE, GA
ZIP 30501-774
Phone: (770) 535-8900
Fax: (770) 535-8108

The provider's authorized official is Sally Evans .
The authorized official title is Owner and has the following contact phone number (407) 340-4304.

The enumeration date for this NPI number is 8/31/2014 and was last updated on 8/31/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalDNO13552GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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