Healthcare Provider Details

I. General information

NPI: 1306757224
Provider Name (Legal Business Name): EVAN WILLIAM TORRIS DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 WOODRUFF PLACE CIR
SIMPSONVILLE SC
29681-3672
US

IV. Provider business mailing address

101 WOODRUFF PLACE CIR
SIMPSONVILLE SC
29681-3672
US

V. Phone/Fax

Practice location:
  • Phone: 814-574-7484
  • Fax:
Mailing address:
  • Phone: 864-509-6435
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number11574
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: