Mr Richard Carlos Evangelista, DDS in Fremont, CA - Dentist

Mr Richard Carlos Evangelista, DDS is a Dentist based in Fremont, California. Mr Richard Carlos Evangelista is licensed to practice in California (license number 47258) and his current practice location is 194 Francisco Lane, Suite 112, Fremont, California. He can be reached at his office (for appointments etc.) via phone at (510) 659-0130.

NPI number for Mr Richard Carlos Evangelista is 1588730584 and his current mailing address is 194 Francisco Lane, Suite 112, Fremont, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1588730584.

Contact Information

	Mr Richard Carlos Evangelista, DDS
	194 Francisco Lane, Suite 112, Fremont, CA 94539-7924
	(510) 659-0130
	(510) 659-0177

Healthcare Provider's Profile

Full Name	Mr Richard Carlos Evangelista
Gender	Male
Speciality	Dentist
Location	194 Francisco Lane, Fremont, California
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1588730584
Provider Enumeration Date: 11/28/2006
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Richard Carlos Evangelista such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588730584	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	47258 (California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Richard Carlos Evangelista is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Richard Carlos Evangelista, DDS 194 Francisco Lane, Suite 112, Fremont, CA 94539-7924 Ph: (510) 659-0130	Mr Richard Carlos Evangelista, DDS 194 Francisco Lane, Suite 112, Fremont, CA 94539-7924 Ph: (510) 659-0130

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Punam Patel, Dentist Medicare: Not Enrolled in Medicare Practice Location: 46921 Warm Springs Blvd Ste 203, Fremont, CA 94539 Phone: 510-792-7888
Dr. Howard Chun-cheung Tsui, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 38050 Martha Ave, Fremont, CA 94536 Phone: 510-429-9888
Dr. Matthew Moore Hansen, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 46592 Mission Blvd, Fremont, CA 94539 Phone: 510-490-3737 Fax: 510-490-1439
Dr. Archana Gulati, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 39200 Liberty St, Suite D, Fremont, CA 94538 Phone: 510-797-9711 Fax: 510-797-9727

Mr Richard Carlos Evangelista, DDS - Dentist in Fremont, CA