Dr. Chris Evanov
Endodontist
1910 Charles St
DuPont
, Washington 98327-7740
Dr. Chris Evanov
Endodontist
1910 Charles St
DuPont
, Washington 98327-7740
(253) 589-3177
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About
Features
Specialties
- Endodontist
Languages spoken
- English
Location
First Address
- Dr. Chris Evanov
- 10904 Gravelly Lake Dr Sw
- Lakewood, WA
- Zip : 98499-1330
- Fax : (253) 589-3177
- Phone : (253) 589-3636
Second Address
- Dr. Chris Evanov
- 1910 Charles St
- Dupont, WA
- Zip : 98327-7740
- Phone : (253) 389-0987
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223E0200X | Endodontist | DE60095117 | WA |
National Provider Identifier
| NPI | 1144287822 |
|---|---|
| Provider Name | Dr. Chris Evanov |
| First Address | Lakewood, WA 98499-1330 |
| Second Address | Dupont, WA 98327-7740 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/04/2006 |
| Last Update Date | 15/01/2014 |
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.