Bryce Orrick Evans, DMD
Individual provider Active NPI General Practice Dentistry · Seaside, OR
NPI 1477545424 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1477545424
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- D8333 (OR)
- Practice address
- 729 S Holladay Dr
Seaside, OR 97138-6606 - Phone
- (503) 738-6520
- Fax
- (503) 738-6556
- NPI assigned
- Aug 16, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D8333 | OR | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seaside Dental Clinic | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D8333 | OR | Yes |
Addresses
Primary practice location
729 S Holladay Dr
Seaside, OR 97138-6606
Mailing address
729 S Holladay Dr
Seaside, OR 97138-6606
Phone (503) 738-6520
Other providers in Seaside, OR
- Zaire Eltayeb
- Emeritus Corporation
- Emeritus Corporation
- Lisa April Escalante
- Allisa Tanzer Evans
- Priscilla P Fairall
- FC Ranger Ops Neawanna (Or), LLC
- Diana Rose Fischer
- Casseopia Fisher
- Kathleen Renee Flewelling
All providers in Seaside, OR · General Practice Dentistry in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.