Individual provider · Type 1 NPI

Clinton Wilkinson Evans, MD, DMD

Oral and Maxillofacial Surgery (Dentist) · Dothan, AL

NPI number 1093799009 Active

Practice location

216 Healthwest Dr
Dothan, AL 36303-1942

Fax (334) 702-6983

Mailing address

35 Hampton Way
Dothan, AL 36305-6319

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) 1223S0112X22785 (AL)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X4563 (AL)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1093799009

Clinton Wilkinson Evans, MD, DMD's National Provider Identifier is 1093799009, issued on Dec 2, 2005. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Dothan, AL. The record was last updated on Sep 18, 2012.