National Provider Identifier
Diane Marie Evans, D.D.S.
Diane Marie Evans, D.D.S. is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Rush, NY and a listed phone number of (585) 321-1460.
Profile Overview
- NPI
- 1225247794
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- May 22, 2007
- Last Updated
- July 08, 2007
Practice Location
- 15 High Tech Dr.
- Rush, NY 14543-9746
Phone: (585) 321-1460
Specialties
- General Practice Dentistry (1223G0001X)
Full Record
- NPI
- 1225247794
- Entity Type
- Individual
- Last Name
- Evans
- First Name
- Diane
- Middle Name
- Marie
- Name Prefix
- Dr.
- Credential
- D.D.S.
- Mailing Street Address
- 15 High Tech Dr.
- Mailing City
- Rush
- Mailing State
- NY
- Mailing ZIP Code
- 14543-9746
- Mailing Country
- US
- Mailing Phone
- (585) 321-1460
- Mailing Fax
- (585) 321-1466
- Practice Street Address
- 15 High Tech Dr.
- Practice City
- Rush
- Practice State
- NY
- Practice ZIP Code
- 14543-9746
- Practice Country
- US
- Practice Phone
- (585) 321-1460
- Practice Fax
- (585) 321-1466
- Enumeration Date
- May 22, 2007
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Dentistry (1223G0001X)