Dr. Brock D. Evans
Oral and Maxillofacial Surgeon
1505 E Lamar Alexander Pkwy
Maryville
, Tennessee 37804-5131
Dr. Brock D. Evans
Oral and Maxillofacial Surgeon
1505 E Lamar Alexander Pkwy
Maryville
, Tennessee 37804-5131
(865) 981-4914
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Brock D. Evans
- 1505 E Lamar Alexander Pkwy
- Maryville, TN
- Zip : 37804-5131
- Fax : (865) 981-4914
- Phone : (865) 983-8630
Second Address
- Dr. Brock D. Evans
- 1505 E Lamar Alexander Pkwy
- Maryville, TN
- Zip : 37804-5131
- Fax : (865) 981-4914
- Phone : (865) 983-8630
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | DS8807 | TN |
National Provider Identifier
| NPI | 1073785010 |
|---|---|
| Provider Name | Dr. Brock D. Evans |
| First Address | Maryville, TN 37804-5131 |
| Second Address | Maryville, TN 37804-5131 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/03/2008 |
| Last Update Date | 10/08/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 5442224 | (05) | TN |
| 8807 | LICENSE (01) | TN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.