Individual provider · Type 1 NPI
Kenneth John Bevan, DDS
General Practice Dentistry · Napa, CA
NPI number
1003960030
Active
Practice location
3434 Villa Ln Ste 100
Napa, CA 94558-6414
Fax (707) 255-2820
Other practice locations
- 1683 E Miles Ave, Hayden, ID 83835-9109 · (208) 772-4066
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | D3385 (ID) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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- Kathleen Rae Marcelo, DDSGeneral Practice Dentistry Napa, CA NPI 1164951075
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About NPI 1003960030
Kenneth John Bevan, DDS's National Provider Identifier is 1003960030, issued on Jan 23, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Napa, CA. The record was last updated on Sep 5, 2019.