Evans Family Dentistry PLLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

3933 Issued in OK

Legal business name

EVANS FAMILY DENTISTRY PLLC

Practice address

8149 E 31St St
Ste D
Tulsa, OK 74145-1724

Phone

(918) 665-2676

Fax

(918) 641-5743

NPI assigned

Jun 12, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Mary J Connaughton

Title

Office Manager

Phone

(918) 665-2676

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297814400000",
    "number": "1699935676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8149 E 31ST ST",
            "address_2": "STE D",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741451724",
            "telephone_number": "918-665-2676",
            "fax_number": "918-641-5743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8149 E 31ST ST",
            "address_2": "STE D",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741451724",
            "telephone_number": "918-665-2676",
            "fax_number": "918-641-5743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANS FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-12",
        "last_updated": "2011-02-16",
        "status": "A",
        "authorized_official_last_name": "CONNAUGHTON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "918-665-2676",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "OK",
            "license": "3933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Marie Eubanks, BS
• Garrett Eubanks
• Lacy Eubanks
• Eugene Otto Dickens MD PC
• Eukinesia Medical Supply, Inc. (Mobility Sales and Service of Greater Oklahoma)
• Angela Evans
• Ashley Elizabeth Evans, BA
• Austin Grant Evans, CRNA
• Catherine Evans
• Colton Earl Evans

• Preferred Provider Organization in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Preferred Provider Organization in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; 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.