Evan Mast
Dentist, General Practice in Elizabeth, New Jersey
1639707623- Practice location
- 105 Elmora Ave, Elizabeth, NJ 07202-1614
- Phone
- 908-402-0878
- Fax
- —
- Last updated
- July 12, 2021
Evan Mast is a Dentist, General Practice based in Elizabeth, NJ. Evan Mast practices in Elizabeth, NJ. The NPI Number for Evan Mast is 1639707623 and holds a License No. 22DI02819700 (NJ). The current practice location address for Evan Mast is 105 Elmora Ave, Elizabeth, NJ 07202-1614 and can be reached out via phone at 908-402-0878.
Provider Profile Details
- NPI Number
- 1639707623
- Provider Name
- Evan Mast
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 105 Elmora Ave, Elizabeth, NJ 07202-1614
- Phone Number
- 908-402-0878
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 27, 2020
- Last Update Date
- July 12, 2021
- Certification Date
- July 12, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 105 Elmora Ave
Elizabeth, NJ 07202-1614 - City
- Elizabeth
- State
- New Jersey
- Zip
- 07202-1614
- Phone Number
- 908-402-0878
Provider Business Mailing Address Details
- Address
- 302 Foxwood RD
Union, NJ 07083-7941 - City
- Union
- State
- NJ
- Zip
- 07083-7941
- Phone Number
- 908-418-8527
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 22DI02819700
- License State (2)
- NJ
- Taxonomy (2)
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, General Practice providers near Elizabeth, NJ
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Frequently Asked Questions
What is the NPI number of Evan Mast?
The NPI number of Evan Mast is 1639707623. It was assigned on March 27, 2020 and is currently active in the NPPES registry.
What is the specialty of Evan Mast?
Evan Mast is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI02819700.
Where does Evan Mast practice?
The practice location is 105 Elmora Ave, Elizabeth, NJ 07202-1614. The office can be reached at 908-402-0878 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639707623 directly on the NPPES registry website.