Dale L Evans LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DALE L EVANS LLC

Practice address

2104 Newton Dr NE
Covington, GA 30014-2456

Phone

(770) 787-0690

Fax

(770) 787-0691

NPI assigned

Jan 25, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Dale L Evans, DDS

Title

Owner

Phone

(770) 787-0690

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453680000000",
    "number": "1114384914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 NEWTON DR NE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142456",
            "telephone_number": "770-787-0690",
            "fax_number": "770-787-0691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 NEWTON DR NE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142456",
            "telephone_number": "770-787-0690",
            "fax_number": "770-787-0691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALE L EVANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-25",
        "last_updated": "2016-01-25",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-787-0690",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ligaya Curlee
• Cvington-Conyers Dental
• Benny Cyriac
• D&D Medical Supplies & Services
• Hoda Daher, MD
• Tina Noelle Daniel-Reasey, ED.D.
• Dar Staffing Solutions
• Danielle Darby, BACHELOR OF SOCIAL W
• Mahlon Lynn Davidson, RPH
• Sarah Davis, PSY.D.

• Dental Clinic/Center in Covington, GA
• Providers in Covington, GA by specialty
• Dental Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; 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.