Provider Demographics
NPI:1588851729
Name:EVENS, STEVEN ELLIOT (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:ELLIOT
Last Name:EVENS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5311 PATTERSON AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-2041
Mailing Address - Country:US
Mailing Address - Phone:804-282-6665
Mailing Address - Fax:804-288-5878
Practice Address - Street 1:5311 PATTERSON AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-2041
Practice Address - Country:US
Practice Address - Phone:804-282-6665
Practice Address - Fax:804-288-5878
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-02
Last Update Date:2007-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA5284122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist