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DR. CLINTON WILKINSON EVANS M.D. D.M.D. NPI 1093799009


NPI Information

NPI: 1093799009
Provider Name: DR. CLINTON WILKINSON EVANS, M.D., D.M.D.
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

PECOS Registration: Yes

Address:
216 HEALTHWEST DR
DOTHAN, AL
ZIP 36303
Phone: (334) 792-1158
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DR. Clinton Wilkinson Evans, M.D., D.M.D. is an oral and maxillofacial surgery dentist in Dothan, AL with 31 years of experience. The provider is an oral and maxillofacial surgery dentist specialized in 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. DR. Clinton Wilkinson Evans, M.D., D.M.D. NPI is 1093799009. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ALABAMA SCHOOL OF DENTISTRY
Graduation Year:1993

The provider's business location address is:

216 HEALTHWEST DR
DOTHAN, AL
ZIP 36303-942
Phone: (334) 792-1158
Fax: (334) 702-6983

The NPI 1093799009 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes (HCPCS:99152)

The enumeration date for this NPI number is 12/2/2005 and was last updated on 9/18/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial Surgery22785ALABAMANo
21223S0112XDentistOral and Maxillofacial Surgery4563ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H16850MEDICARE UPINALABAMA
2000095652MEDICARE ID-TYPE UNSPECIFIEDALABAMA
3766464OTHERALABAMAUNITED CONCORDIA
451095652OTHERALABAMABCBSAL DOTHAN OFFICE
551097740OTHERALABAMABCBSAL ENTERPRISE OFFICE
6000095652MEDICAIDALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.