Dr. Thomas William Evans
Pediatric Dentist
740 Pennsylvania Ave
Ottumwa
, Iowa 52501-2152
Dr. Thomas William Evans
Pediatric Dentist
740 Pennsylvania Ave
Ottumwa
, Iowa 52501-2152
(641) 683-1000
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Dr. Thomas William Evans
- 740 Pennsylvania Ave
- Ottumwa, IA
- Zip : 52501-2152
- Phone : (641) 683-1000
Second Address
- Dr. Thomas William Evans
- 740 Pennsylvania Ave
- Ottumwa, IA
- Zip : 52501-2152
- Phone : (641) 683-1000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | 6354 | IA |
National Provider Identifier
| NPI | 1083721211 |
|---|---|
| Provider Name | Dr. Thomas William Evans |
| First Address | Ottumwa, IA 52501-2152 |
| Second Address | Ottumwa, IA 52501-2152 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/08/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0169144 | (05) | IA |
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.