DR. EVAN EVANISH, DMD
Dentist
Active
Individual
NPI: 1124766175
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
| Dentist | 122300000X | Yes | DS043637 (PA) |
Frequently Asked Questions
NPI 1124766175 is the National Provider Identifier for DR. EVAN EVANISH, DMD, a Dentist provider located in Scranton, PA. This NPI was enumerated on May 20, 2022.
DR. EVAN EVANISH, DMD practices at 400 WYOMING AVE STE 300, Scranton, PA 18503.
Quick Facts
- NPI
- 1124766175
- Type
- Individual
- Enumerated
- May 20, 2022
- Last Updated
- Jun 13, 2022
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