Derek James Bevans, DMD Valid NPI
Individual provider · Dentist · Eugene, OR
- NPI
- 1932188406
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- D7381 (OR)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-01-12
- Last updated
- 2007-07-08
Practice location
721 Country Club Rd
Eugene, OR 97401-6008
(541) 686-1199