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Evan Mast
General Practice Dentistry in Elizabeth, New Jersey
NPI 1639707623

Evan Mast is a General Practice Dentistry based in Union, NJ and is specialized in General Practice. Evan Mast practices in Elizabeth, NJ. The NPI Number for Evan Mast is 1639707623 and holds a License No. (New Jersey).

The current practice location address for Evan Mast is 105 Elmora Ave, Elizabeth, NJ and can be reached out via phone at 908-402-0878.

Location: 105 Elmora Ave, Elizabeth, NJ, 07083-7941
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639707623
Provider Name
Evan Mast
Credential
Provider Entity Type
Individual
Gender
Male
Address
105 Elmora Ave, Elizabeth, NJ, 07083-7941
Phone Number
908-402-0878
Fax Number
Provider Enumeration Date
03/27/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
105 Elmora Ave
City
Elizabeth
State
New Jersey
Zip
07202-1614
Phone Number
908-402-0878
Fax Number
person
Provider Business Mailing Address Details
Address
105 Elmora Ave
City
Elizabeth
State
New Jersey
Zip
07202-1614
Phone Number
908-402-0878
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
22DI02819700 (New Jersey)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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