MEDICARE: DR. EVELYN CASAS ALVAREZ DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DN30401	FL

General Provider Information

NPI Number	:	1699662510
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EVELYN CASAS ALVAREZ DMD

Provider Business Mailing Address
First Line	:	1711 NW 27TH ST
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33993-8468
Country	:	US
Telephone Number	:	786-604-6335
Fax Number	:

Provider Business Practice Location Address
First Line	:	1481 SW PINE ISLAND RD
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33991-2154
Country	:	US
Telephone Number	:	239-235-3325
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2025
Last Update Date	:	06/23/2025

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