Evans, Bennie Cleaveland
Evans, Bennie Cleaveland is an sole proprietor health care provider with primary practice located at 210 Addavale St , Griffin GA 30224-4217. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Evans, Bennie Cleaveland can be contacted via phone (770) 229-1490.Contact Information
Primary practice address
210 Addavale St
Griffin GA 30224-4217
Phone: (770) 229-1490
Fax: (770) 229-4929
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 8495 | Georgia |
Profile Details
| NPI number | 1730568296 |
|---|---|
| LBN Legal business name | Evans, Bennie Cleaveland |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 29th, 2015 |
| Last updated | May 29th, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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