FAIRMONT DENTAL INC
NPI 1598800039
Dentist - General Practice in Fairmont, NC

Active since February 21, 2007
304 IONA ST, FAIRMONT, NC 28340(910) 628-7166(910) 628-7167 Get Directions Write a Review

NPPES record last updated: January 17, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fairmont Dental Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAIRMONT DENTAL INC (NPI 1598800039), doing business as Samuel G Evans Jr Dds, is a healthcare organization registered as a general practice in Fairmont, North Carolina and active in the NPI registry since February 2007. The organization lists Samuel G Evans, President Ceo, as its authorized official.

NPPES Registry Identity

NPI1598800039
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameFAIRMONT DENTAL INC
Location Address304 IONA STFairmont, NC 28340-1618
Mailing Address304 Iona StFairmont, NC 28340-1618 · (910) 628-7166 · Fax (910) 628-7167
Fax(910) 628-7167
Organization SubpartNo
Authorized OfficialSamuel G EvansPresident Ceo · (910) 628-7166
Enumeration DateFebruary 21, 2007
Last NPPES UpdateJanuary 17, 2012
NPI 1598800039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NC · 5286
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.
304 IONA ST, Fairmont, NC 28340

Other Names 1

Former Legal Business NameSamuel G Evans Jr Dds

Other Identifiers 3

Medicare UPINU35857
Medicaid8992534NC
Other92534Blue Cross Blue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Oral and Maxillofacial Surgery)
304 IONA ST
FAIRMONT, NC 28340
Dentist
304 IONA ST
FAIRMONT, NC 28340
Dentist
304 IONA ST
FAIRMONT, NC 28340

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fairmont Dental Inc's NPI number?

The NPI number for Fairmont Dental Inc is 1598800039. It was assigned to this organization in the NPPES registry on February 21, 2007. The provider was formerly known as Samuel G Evans Jr Dds.

Where is Fairmont Dental Inc located?

Fairmont Dental Inc is located at 304 Iona St, Fairmont, NC 28340. The listed phone number is (910) 628-7166.

What is Fairmont Dental Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Fairmont Dental Inc was last updated on January 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.