Evans, Richard B
Evans, Richard B is an individual health care provider with primary practice located at 8530 La Mesa Blvd Ste 204 , La Mesa CA 91942-0966. He recently has 2 registered licenses in different health care specialties including Dental Providers / Orthodontics and Dentofacial Orthopedics, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Evans, Richard B can be contacted via phone (619) 494-2492.Contact Information
Primary practice address
8530 La Mesa Blvd Ste 204
La Mesa CA 91942-0966
Phone: (619) 494-2492
Fax: (619) 460-0700
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 31914 | California |
| Dental Providers / General Practice | 1223G0001X | 31914 | California |
Profile Details
| NPI number | 1780673202 |
|---|---|
| LBN Legal business name | Evans, Richard B |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2005 |
| Last updated | Sep 21st, 2021 - about 3 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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