Provider Demographics
NPI:1023557162
Name:DOWNTOWN FINDLAY DENTAL, JEFFREY A. EVANS, DDS, LLC
Entity Type:Organization
Organization Name:DOWNTOWN FINDLAY DENTAL, JEFFREY A. EVANS, DDS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:S
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-607-0442
Mailing Address - Street 1:223 W CRAWFORD ST
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-3203
Mailing Address - Country:US
Mailing Address - Phone:419-422-9034
Mailing Address - Fax:419-422-9035
Practice Address - Street 1:223 W CRAWFORD ST
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-3203
Practice Address - Country:US
Practice Address - Phone:419-422-9034
Practice Address - Fax:419-422-9035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-22
Last Update Date:2017-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300226181223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty