Dr. Jonathan David Evans
Pediatric Dentist
301 Fisher St
Biloxi
, Mississippi 39534
Dr. Jonathan David Evans
Pediatric Dentist
301 Fisher St
Biloxi
, Mississippi 39534
496565913590
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Dr. Jonathan David Evans
- 52d Medical Group Unit 3865
- Apo, AE
- Zip : 09126-3865
- Phone : 496565913590
Second Address
- Dr. Jonathan David Evans
- 301 Fisher St
- Biloxi, MS
- Zip : 39534
- Phone : (228) 376-0511
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | 19482 | TX |
National Provider Identifier
| NPI | 1033106000 |
|---|---|
| Provider Name | Dr. Jonathan David Evans |
| First Address | Apo, AE 09126-3865 |
| Second Address | Biloxi, MS 39534 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/10/2005 |
| Last Update Date | 03/08/2018 |
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.