Evans Signature Dentistry LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

EVANS SIGNATURE DENTISTRY LLC

Practice address

584 Blue Ridge Dr
Evans, GA 30809-3604

Phone

(706) 650-9700

NPI assigned

Jul 3, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nilay Patel, DMDNPI 1528298379

Title

Owner

Phone

(706) 650-9700

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nilay Suresh Patel, D.M.D

  • General Practice Dentistry
  • Aiken, SC
  • NPI 1528298379
  NPD Authorized official
• Maite Lestayo, DMD

  • Student in an Organized Health Care Education/Training Program
  • Augusta, GA
  • NPI 1740029933
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644451200000",
    "number": "1104443381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1670",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308091670",
            "telephone_number": "706-650-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "584 BLUE RIDGE DR",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093604",
            "telephone_number": "706-650-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANS SIGNATURE DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-03",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NILAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-650-9700",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evans Injury Chiropractic LLC
• Evans Medical Group
• Evans Mental Health Associates
• Evans Procedure Center, LLC
• Evans Rehabilitation Services, LLC (Lake Oconee Rehabilitation and Performance Center)
• Evans Urgent Care
• Kelli Lane Evans, FNP-BC
• Extraordinary Homecare LLC
• Eyecare One Martinez LLC (Broome Family Eyecare)
• F&M Wellness LLC

• General Practice Dentistry in Evans, GA
• Providers in Evans, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.