Arthur F Evans, DDS
Individual provider Active NPI General Practice Dentistry · Gravette, AR
NPI 1669580163 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1669580163
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 1952 (AR)
- Practice address
- 1102 Jackson SW
Gravette Mercy Medical Clinic BLDG
Gravette, AR 72736 - Phone
- (479) 787-5256
- Fax
- (479) 787-6950
- NPI assigned
- Aug 26, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| 1952 | AR | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1952 | AR | Yes |
Addresses
Primary practice location
1102 Jackson SW
Gravette Mercy Medical Clinic BLDG
Gravette, AR 72736
Mailing address
PO Box 186
Granette, AR 72736
Phone (479) 787-5256
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 108957 | Other | UNITED CONCORDIA | |
| 58161 | Other | BCBS |
Other providers in Gravette, AR
- Frederick Nicholas Day III
- Jackie Suzanne Day
- Designed for Life Counseling & Consulting Services, PLLC
- Rayetta Eaton
- Samantha Jean Eaton
- Kayla Lorraine Flowers
- Gregory Scott Forrester
- Gravette Dental Associates PLLC
- Gravette Family Dental
- Gravette Medical Center Hospital
All providers in Gravette, AR · General Practice Dentistry in Arkansas
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.