Glenn J Evans DDS PC

Dentist · Wheaton, IL

Organization Active NPI

NPI number 1831453307

Practice location

703 Parkway Dr
Wheaton, IL 60187-3646
Phone
(630) 362-8674

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NPI record

NPI
1831453307
Entity type
Organization (Type 2)
Enumeration date
June 29, 2012
Last updated
June 29, 2012
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 019026423 IL

Authorized official

Name
Dr. Glenn Evans, DDS
Title
Dentist
Phone
(630) 362-8674

About Glenn J Evans DDS PC

Glenn J Evans DDS PC is a healthcare organization registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 703 Parkway Dr, Wheaton, IL 60187-3646. The NPI number 1831453307 was assigned on June 29, 2012 and the record was last updated on June 29, 2012.

Glenn J Evans DDS PC lists a license in the registry: #019026423 (IL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Glenn Evans, DDS, Dentist.

Frequently asked questions

What is the NPI number of Glenn J Evans DDS PC?

The NPI number is 1831453307.

What is the phone number of Glenn J Evans DDS PC?

The phone number listed for the practice location is (630) 362-8674.

Where is Glenn J Evans DDS PC located?

703 Parkway Dr, Wheaton, IL 60187-3646.

What is the taxonomy code for Glenn J Evans DDS PC?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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