Evans, Bryce Alan
Evans, Bryce Alan is an individual health care provider with primary practice located at 1000 W Nifong Blvd Ste 130 , Columbia MO 65203-5615. He recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry, Student, Health Care / Student in an Organized Health Care Education/Training Program. Dental Providers / Pediatric Dentistry is his primary health care specialty. Evans, Bryce Alan can be contacted via phone (573) 874-1990.Contact Information
Primary practice address
1000 W Nifong Blvd Ste 130
Columbia MO 65203-5615
Phone: (573) 874-1990
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 2016021053 | Missouri |
Dental Providers / Pediatric Dentistry | 1223P0221X | DDS-09871 | Iowa |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 30487 | Iowa |
Dental Providers / Pediatric Dentistry | 1223P0221X | 2016021053 | Missouri |
Profile Details
NPI number | 1467805390 |
---|---|
LBN Legal business name | Evans, Bryce Alan |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 15th, 2016 |
Last updated | Apr 1st, 2021 - about 4 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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