Samuel G Evans Jr Dds

LBN: Fairmont Dental Inc
Samuel G Evans Jr Dds is an health care organization with primary practice located at 304 Iona St , Fairmont NC 28340-1618. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Fairmont Dental Inc can be contacted via phone (910) 628-7166, or through Evans, Samuel G via phone (910) 628-7166.

Contact Information

Primary practice address
304 Iona St Fairmont NC 28340-1618
Phone: (910) 628-7166
Fax: (910) 628-7167
Website:
Map and Directions
Authorized official contact:
Name: Evans, Samuel G Doctor of Dental Surgery (DDS)
Phone: (910) 628-7166

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5286 North Carolina

Profile Details

NPI number 1598800039
LBN Legal business name Fairmont Dental Inc
DBA Doing business as Samuel G Evans Jr Dds
Authorized official Evans, Samuel G Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2007
Last updated Jan 17th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598800039 NPPES
Other 92534 BLUE CROSS BLUE SHIELD
MEDICAID 8992534 BLUE CROSS BLUE SHIELD

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