Evens Family Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

EVENS FAMILY DENTAL

Practice address

13107 Atlantic Blvd
Jacksonville, FL 32225-7127

Phone

(904) 683-6057

NPI assigned

May 7, 2019

Organization subpart

No

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

Authorized official

Name

Jennifer A. Evens

Title

Practice Manager

Phone

(904) 683-6057

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Nicholas Parker Comerford, DMD

  • General Practice Dentistry
  • Jacksonville, FL
  • NPI 1710298799
  NPD

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

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1326603176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13107 ATLANTIC BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322257127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13107 ATLANTIC BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322257127",
            "telephone_number": "904-683-6057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVENS FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-07",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "EVENS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "904-683-6057"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie J Evans, RN
• Stephenie Evans
• William Alexander Evans, PHARMD
• Wandanal Eveillard
• Victoria Louise Evelyn, PHARMD
• Aaron C Evens, DDS
• Sandrine Sonide Eveque
• Audrey Everett, BS
• Lavette D Everett, CNA
• Shakeika Kiara Everett, AU.D., CCC-A

• General Practice Dentistry in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.