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General NPI Number Information
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NPI Number | 1538068259
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Entity Type | Organization
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Legal Business Name | GEORGE EVANS JR DDS, LLC
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Dates
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Enumeration Date | 11/02/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 5415 OLD COURT RD STE S01
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City | RANDALLSTOWN
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State | MD
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Zip | 21133-5174
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Country | US
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Telephone | 410-922-1601
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Fax | 444-314-4738
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Provider Business Mailing Address
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Address Line | 5415 OLD COURT RD STE S01
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City | RANDALLSTOWN
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State | MD
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Zip | 21133-5174
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Country | US
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Telephone | 410-922-1601
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Fax | 444-314-4738
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Authorized Official
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Title or Position | OWNER/GENERAL DENTIST
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Name | DR. GEORGE EVANS JR.
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Credential | DDS
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Telephone | 410-922-1601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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