Evan McVicker

Primary specialty

DentistTaxonomy code 122300000X

License

30458 Issued in FL

Practice address

205 Zeagler Dr Ste 502
Palatka, FL 32177-3887

Phone

(386) 328-1500

NPI assigned

Jun 12, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• PF Dent, PA

  • Dentist
  • Palatka, FL
  • NPI 1790464733
  NPD
• Jeffrey R. Slotten

  • Dental Clinic/Center
  • Palatka, FL
  • NPI 1457561672
  NPD (past)

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

{
    "created_epoch": "1749686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1265327704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 ZEAGLER DR STE 502",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 ZEAGLER DR STE 502",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773887",
            "telephone_number": "386-328-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCVICKER",
        "first_name": "EVAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "30458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrice Lavella McCormick
• Marty McCullough, CRNA
• Ashani McDonald, PHARMD
• Elizabeth Ann McKinley, COTA
• Venus Mone' McRae, RN
• Med Ex
• Medex Medical Express of Palatka LLC
• Medex Primary Care
• Melvin M. Seek, MD, PA
• Meridian Behavioral Healthcare, Inc.

• Dentist in Palatka, FL
• Providers in Palatka, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; 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.